RN Case Manager

2 days ago Be among the first 25 applicants

Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Florida Gulf Coast Hospital our nurses set us apart from any other healthcare provider. We are seeking a RN Case Manager to join our healthcare family.

HCA Florida Gulf Coast Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free Air Med medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long‑term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long‑ and short‑term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee‑only coverage to full‑time and part‑time colleagues based on income.

Learn More About Employee Benefits

Note:

Eligibility for benefits may vary by location.

The primary purpose of the Case Manager is to serve as principal liaison between medical staff, administration, finance, health information management and other ancillary departments to ensure that patient care needs are met and treatment plans are executed in the most appropriate and efficient level of the health care continuum.

• Maintains consistent record of regular and punctual attendance.
• Performs initial screening of identified patients for appropriate level of care, priority, payer status and high risk criteria.
• Collaborates with physicians and Health care team in planning the care of patients and families within the acute setting and along the healthcare continuum.
• Reviews patient population for appropriate disposition and communicates with ED/primary physician.
• Involves the physician, patient and family in planning care and the discharge plan.
• Identifies and transmits system issues impacting patient care to Case Management Director/CFO/UR committee, as appropriate.
• Ensures the appropriate status is declared at the time admitting orders are written.
• Collaborates with Social Worker in cases where their intervention is indicated.
• Monitors plan of care to ensure timely and cost‑effective use of resources.
• Monitors patient’s progress along the plan of care and intervenes appropriately on variances when identified.
• Maintains liaison with hospital department managers and other individuals to ensure continuity of care and effective communication of plan of care.
• Provides decision support to the admitting office, registration and nursing supervisor as well as physicians’ office staff regarding appropriateness of admission, as needed.
• Coordinates with and corresponds to appropriate agencies and third party payers regarding pre‑admission screening, concurrent, outpatient and retrospective review process as it relates to federal and commercial insurance plans to maximize positive financial outcomes.
• Coordinates and assists with Baker Act placements.
• Arranges appropriate after care needs (i.e. HHC,…