Registered Nurse Case Manager PRN

HCA Healthcare•El Paso, TX

1d•Onsite

About The Position

The Registered Nurse Case Manager coordinates medical services and discharge planning for a designated patient population. The role conducts 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-management duties may be performed within an integrated or triad model. The position guides patients and families through program orientation, rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights. It coordinates patient, family, and caregiver education and participation in treatment planning, goals, and family conferences. The Case Manager develops individualized treatment plans, completes psychosocial assessments and discharge-planning evaluations, and collaborates with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to support patient-centered care. The role promotes HCA Healthcare’s values of compassion, respect, and excellence. The employer describes Las Palmas Medical Center as a 300-plus-bed hospital in El Paso, Texas, and part of Las Palmas Del Sol Healthcare and HCA Healthcare. The posting identifies the position as PRN but does not specify whether it is full-time or part-time.

Requirements

RN licensure in Texas or a Compact State.
Associate degree or BSN.
Ability to read, analyze, and understand complex clinical and financial data and apply it to level-of-care criteria and discharge options.
Strong, broad-based clinical knowledge and understanding of disease pathology and physiology.
Excellent critical-thinking skills.
Ability to facilitate ongoing physician communication.
Ability to organize, prioritize, and manage time efficiently.
Computer literacy and familiarity with basic office equipment.
Ability to communicate effectively with hospital personnel, physicians, patients and family members from varied socioeconomic groups, and representatives of outside agencies.
Ability to communicate effectively with adolescent, adult, and geriatric patients and understand their age-specific needs.
Understanding of HCA’s Patients First safety initiative and compliance with applicable safety protocols and procedures.
Awareness of how patient age, race, nationality, culture, disease-related vulnerabilities, and socioeconomic factors affect care, 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, processes, and role; needs assessment; utilization review and quality-assurance principles; InterQual or other clinical decision-support criteria; discharge planning; and governmental 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.
Act 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 patients’ 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 to ensure coordinated, patient-centered care.
Promote HCA Healthcare’s values of compassion, respect, and excellence in interactions with patients and families.
Follow safety protocols and apply interventions responsive to patients’ age, race, nationality, culture, vulnerabilities, and socioeconomic circumstances.

Benefits

Medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage.
Free counseling and referral services.
Paid time off, 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 and 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.