RN Case Manager

As a RN Case Manager, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.

Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. The RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team.

The RN Case Manager facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

• Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family

• Reassesses the patient’s clinical condition as indicated. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources.

• Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition

• In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate

• The RN CM is responsible for timely referral to Social Services when risk factors for psychosocial determinants of health are identified

• Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals

• Evaluates progression of care using evidence-based tools and approved criteria (Inter Qual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command

• Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease states

• Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency

• Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team

• Align patient’s needs with available resources to ensure a safe discharge / transition

• Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies

• Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources

• Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives

• Serve as an advocate for patient's rights, needs, and values; ensuring that patients’ ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned

• Registered Nurse with current TX state license required

• Associate Degree…