RN Case Manager PRN

HCA•Tallahassee, FL

52d•Onsite

About The Position

Introduction Do you want to join an organization that invests in you as a(an) RN Case Manager PRN? At HCA Florida Capital Hospital, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years. You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated RN Case Manager PRN like you to be a part of our team. The RN CM Care Coordinator will facilitate the interdisciplinary plan of care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care, and resource management. The RN CM Care Coordinator will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. The RN CM Care Coordinator will identify potential barriers to patient throughput and quality outcomes and will facilitate appropriate discharge plans. HCA Florida Capital Hospital is your one-stop solution for all your healthcare needs. We are an accredited healthcare facility with over 1,400 skilled employees and 500+ experienced providers. Our 288-bed, acute-care hospital provides 24/7 Emergency Services in Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain Center w/PCI-Resuscitation, Family Center, Heart & Vascular Center, Imaging Services, Neonatal Intensive Care Unit, Orthopedic/Spine Center, Physical Therapy Services, Rehabilitation Center, Stroke Center, Surgical Services, Surgical Weight Loss Center, Network-of-Care Affiliated Physician Practices, and much more. Trust us to give you compassionate care and exceptional service. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our RN Case Manager PRN opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Requirements

Associates Degree in Nursing or Diploma in Nursing required
Bachelor's Degree in Nursing preferred
Current FL RN license required or appropriate compact licensure. If compact license held, active FL RN license required within 90 days of hire
Advanced Practice Registered Nurse license is acceptable for position if current and compliant
Three years of nursing experience in acute care setting is required

Nice To Haves

Certification in Case Management, Nursing, or Utilization Review, preferred
Case Management experience preferred

Responsibilities

Performs a comprehensive assessment of psychosocial and medical needs of assigned patients
Develops a case management plan of care to include identified clinical, psychosocial and discharge needs; coordinates plan of care; plan is documented in the medical record; plan is communicated to appropriate clinical disciplines
Assumes a leadership role with the interdisciplinary team to manage care, through criteria driven processes, for the appropriate level of care, patient status and resource utilization
Conducts interdisciplinary team meetings to provide a mechanism for all clinical disciplines to collaborate, plan, implement, and assess the plan of car; patient selection should be criteria based and interventions will be documented
Evaluates admissions for medical necessity using approved criteria at defined intervals throughout the episode of care; escalates medical necessity and admission status issues through the established chain of command
Evaluates and assess observation patients for appropriateness in observation status
Performs utilization management reviews and communicates information to third party payors
Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies
Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives; monitors self-compliance and implements process changes to ensure compliance to such regulations and quality initiatives as it relates to the provision of Case Management Services
Makes appropriate referrals to third party payer disease and case management programs for recurring patients and patients with chronic disease states
Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
Facilitates patient throughput with an ongoing focus on quality and efficiency
Tracks and trends barriers to care; makes recommendations and develops action plans to improve processes and systems
Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals
Assesses patients' post discharge needs and facilitates the provision of services necessary to meet identified needs
Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered
Identifies patients with the potential for high risk complications and makes appropriate referrals acting as an advocate for the individual's healthcare needs
Directs activities to identify and provide for the needs of the under resourced patient population to include patient education activities, patient assistance programs, and community based resources
Develops individual plans of care for recurring patients to include education on appropriately accessing healthcare resources, preventative education, and community based resources
Assumes a leadership role in the development, revision, and implementation of clinical protocols which transition patients across the continuum of care or discharge patients to an appropriate service level of care
Tracks and trends variances to care and barriers to care; makes recommendations and develops action plans to improve processes and systems
Adheres to established policy and procedure and standards of care; escalates issues through the established Chain of Command timely
Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered.
Demonstrates knowledge of the occurrence reporting system. Uses system to report potential patient safety issues.
Follows established guidelines for reporting a significant medical error or unanticipated outcome in the patient's care which results in patient harm.
Attends in-service presentations and completes all mandatory education requirements.
Uses Performance Improvement Plan to improve patient safety.
Regular, Punctual and dependable attendance.
Other duties as assigned

Benefits

HCA Florida Capital 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 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.