Registered Nurse Case Manager Weekends Only

HCA Healthcare•El Paso, TX

2d•Onsite

About The Position

The Registered Nurse Case Manager coordinates medical services and discharge planning for a specified patient population. The role performs concurrent and retrospective medical record reviews for utilization review, compliance with external review agencies and payer requirements, and quality assurance. The Case Manager serves as a liaison among patients, families, facility staff, physicians, funding representatives, and community agencies, and ensures continuity when clinical information is handed off from the hospital to other healthcare entities. Acute care Case Managers may work in an integrated or triad model. Responsibilities include guiding patients and families through program orientation and explaining rehabilitation, benefits, discharge criteria, and patient rights; coordinating patient, family, and caregiver education and participation in treatment planning; developing individualized treatment plans; completing psychosocial assessments and discharge planning evaluations; and collaborating with facility and interdisciplinary leaders to support seamless, patient-centered care. The position promotes HCA Healthcare’s values of compassion, respect, and excellence.

Requirements

RN licensure in Texas or a Compact State.
Associate degree or BSN.
Ability to read, analyze, and comprehend complex clinical and financial data and apply it to level-of-care criteria and discharge options.
Broad clinical knowledge and understanding of disease pathology and physiology.
Strong critical-thinking skills and ability to facilitate ongoing physician communication.
Ability to organize, prioritize, and manage time efficiently.
Computer literacy and familiarity with basic office equipment.
Effective communication with hospital personnel, physicians, patients, families, and representatives of outside agencies across varied socioeconomic groups.
Ability to communicate effectively with patients and understand the age-specific needs of adolescent, adult, and geriatric patients.
Understanding of HCA’s Patients First safety initiative and strict compliance with safety protocols and procedures.
Awareness that age, race, nationality, culture, disease-related vulnerabilities, and socioeconomic factors affect patient needs, and ability to use appropriate interventions.

Nice To Haves

Three to five years of clinical experience in an acute healthcare setting.
Recent work history in acute care case management or related healthcare experience.
Working knowledge of case management philosophy, process, and role; needs assessment; utilization review and quality assurance; InterQual or other clinical decision-support criteria; discharge planning; and government and nongovernmental reimbursement structures.

Responsibilities

Coordinate delivery of medical services and discharge planning for a specified patient population.
Perform concurrent and retrospective medical record reviews for utilization review, compliance, and quality assurance.
Serve as a liaison among patients, families, facility staff, physicians, funding representatives, and community agencies.
Ensure continuity of clinical information during handoffs from the hospital to other healthcare entities.
Guide patients and families through program orientation, rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights.
Coordinate education for patients, families, and caregivers to support participation in treatment planning, goal discussions, and family conferences.
Develop and implement individualized treatment plans reflecting patient strengths, needs, and recovery goals.
Complete psychosocial assessments and discharge planning evaluations, document findings, and communicate needs across the care team.
Collaborate with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team.
Promote HCA Healthcare’s values of compassion, respect, and excellence in patient and family interactions.
Comply with safety protocols and procedures and use interventions appropriate to patients’ age, culture, vulnerabilities, and socioeconomic factors.

Benefits

Medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
Free counseling and referral services.
Paid time off and paid family leave.
Long- and short-term disability coverage and leaves of absence.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan.
Flexible spending accounts.
Preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
Fertility and family-building benefits and adoption assistance.
Life insurance and supplemental health protection plans.
Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.