RN Case Manager Lead

HCA • Kansas City, MO

76d

About The Position

Are you looking for a place to deliver excellent care patients deserve? At Research Medical Center we support our colleagues in their positions. Join our Team as a(an) RN Case Manager Lead and access programs to assist with every stage of your career. Responsible for progressing care of patients and ensuring progression of care by reviewing the case promptly and applying IP IQ criteria. Adheres to HCA standards regarding observation management. In addition, the RN SM Lead will be responsible for adhering to the 2 Midnight Process. Works closely with the physician by monitoring the case and will notify the physician of findings, so appropriate and timely decisions can be made to admit or discharge the patient. Identify barriers that prevent progression of care, and either remove the barrier or escalate the barrier to the facility Director of Case Management. Work closely with the case management discharge planners by communicating the progression of care and any barriers to discharge. Coordinates activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. Responsible for ensuring other RN CM in department are using IQ criteria appropriately. Conduct reviews with the UR physician to adhere to the self-denial process.

Requirements

• (RN) Registered Nurse
• Registered Nurse Diploma, Associate Degree, or Bachelor's Degree
• 2+ years experience in case management OR 3+ years experience in clinical nursing

Responsibilities

• Progress care of patients and ensure progression of care by reviewing the case promptly and applying IP IQ criteria.
• Adhere to HCA standards regarding observation management and the 2 Midnight Process.
• Work closely with the physician by monitoring the case and notifying the physician of findings.
• Identify barriers that prevent progression of care and escalate to the facility Director of Case Management if necessary.
• Communicate with case management discharge planners regarding progression of care and barriers to discharge.
• Coordinate activities that promote quality outcomes and patient throughput.
• Ensure other RN CM in department are using IQ criteria appropriately.
• Conduct reviews with the UR physician to adhere to the self-denial process.

Benefits

• Comprehensive medical coverage with low copay options.
• Dental and vision benefits.
• Life and disability coverage.
• Flexible spending accounts.
• Supplemental health protection plans.
• 401(k) Plan with a 100% match on 3% to 9% of pay.
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Family support through fertility and family building benefits.
• Referral services for child, elder, and pet care.
• Consumer discounts through Abenity.
• Education assistance including tuition and certification support.
• Colleague recognition program.
• Time Away From Work Program including paid time off.
• Employee Health Assistance Fund offering free employee-only coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees