Case Management RN Manager

HCA Healthcare seeks a Case Management RN Manager to lead a team of case managers supporting safe, efficient patient care transitions. This role oversees daily case management operations, including discharge planning, utilization review, and coordination with physicians, nurses, and community resources. The manager monitors quality, length of stay, and readmission metrics, ensuring regulatory and payer compliance. You will mentor staff, support evidence-based practice, and drive process improvements that enhance patient outcomes while optimizing resource use, all within HCA's collaborative, patient-centered culture.

Responsibilities

• Lead and supervise case management nursing team
• Oversee discharge planning and care transitions
• Coordinate with physicians, nurses, and external providers
• Conduct and oversee utilization review and authorization processes
• Monitor length of stay, readmissions, and quality indicators
• Ensure compliance with regulatory and payer requirements
• Develop and implement process improvement initiatives
• Provide staff coaching, training, and performance evaluations
• Collaborate with interdisciplinary teams on complex cases
• Use EMR and case management systems to track patient progress

Required Skills

• Case management
• Discharge planning
• Utilization review
• Care coordination
• Leadership and team management
• Quality and outcomes management
• Knowledge of payer and regulatory requirements
• Electronic medical records (EMR) systems
• Data analysis and reporting
• Conflict resolution and negotiation