Case Manager RN

HCA Healthcare•San Antonio, TX

About The Position

As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient's unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care.

Requirements

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program.
RN License to practice as a professional registered nursing in the state of Texas or Active Multi-State RN Compact License. (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date.)
Minimum of 3 years RN experience, preferably experienced in Oncology
Prefer at least one year experience in utilization review, resource management, discharge planning or case management.

Nice To Haves

Bachelor of Science in Nursing

Responsibilities

Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies resources available to address the needs identified, coordinate referrals and document plan.
Utilize community resources to support patient's post hospital needs. Documents choice in available resources has been offered.
Performs admission and continued stay reviews. Provides clinical information to payers upon request for certification and reimbursement of care. Discusses alternate level of care with physician. Refers cases not meeting acute care criteria to Physician Advisor as needed.
Facilitates and or provides education of hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization
Keeps current of requirements by JCAHO, HCFA and other state/federal agencies on provision of care, planning and documenting.
Tracks resource statistics to identify improvement opportunities. Attends medical staff and other hospital committee meetings to report findings.

Benefits

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 AirMed 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.