RN Case Manager PRN

HCA Healthcare • Lake City, FL

117d

About The Position

Do you want to join an organization that invests in you as an RN Case Manager PRN? At HCA Florida Lake City 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.

Requirements

• Registered Nurse (RN) with an Associate Degree.
• One year experience in case management and/or supervisory/management position involving case management/utilization review/responsibility in an acute care hospital and/or managed care setting required.
• Current State of Florida license for Registered Nurse or appropriate compact licensure. If compact license held, active FL RN license required within 90 days of hire.

Responsibilities

• Provides hospital case management/utilization review and discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment.
• Coordinate the integration of the social service function into patient care.
• Coordinate the hospital activities concerned with case management and discharge planning.
• Adhere to departmental goals, objectives, standards of performance, and policies and procedures.
• Ensure compliance with quality patient care and regulatory compliance.
• Ensures compliance with all regulatory agency requirements.
• Maintains working knowledge of requirements of payers, current knowledge of community resources and provider agencies as well as Federal/State and County guidelines.
• Reviews all admissions regardless of pay source within (1) working day and at least every 72 hours as indicated by patient's condition and insurance company request and documents in the UM module.
• Performs initial screening of identified patients for appropriate level of care, priority, payer status and high-risk criteria.
• Provides current clinical data to Health Information and updates as indicated to facilitate correct DRG assignment on a concurrent basis.
• Identifies appropriate delays in the health care process and documents in the UM module.
• Demonstrates current knowledge of Interqual and Millimen Criteria for admission, continued stay and discharge.
• Ensures staff abides by government regulations in transferring acutely ill patients to higher or lower level of care.
• Participates in and demonstrates current knowledge of assigned patients' condition/readiness for discharge and discharge plan during Interdisciplinary Care Conferences.
• Adheres to established policy and procedure and standards of care: monitors timeliness of services provided; intervenes as needed to minimize delays.
• Demonstrates skills and accuracy in collecting and inputting data into hospital computer system as relevant to position.
• Knowledge of procedures for maintaining security, confidentiality and integrity of patient's medical information.
• Demonstrates ability to collect, analyze and present data as appropriate for position.
• Initiates and/or participates in PI process to address and resolve issues impacting quality.
• Consistently exercises discretion and judgment to analyze, interpret, make deductions and then decide what actions are necessary based on the varying facts and circumstances of each individual case.
• Escalates unresolved status, level of care and standards of care issues through the Physician Advisor/established chain of command in a timely manner.

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.

What This Job Offers

• Career Level: Entry Level
• Industry: Hospitals
• Education Level: Associate degree