RN Case Manager

HCA Healthcare•Ogden, UT

13h

About The Position

The RN Case Manager is responsible for utilization review, care coordination, resource management, and discharge planning. The role facilitates an interdisciplinary plan of care, evaluating appropriateness of care, medical necessity, admission status, level of care, and resource management. The Case Manager coordinates activities that promote quality outcomes and patient throughput while balancing optimal care with appropriate resource utilization. The role also identifies potential barriers to patient throughput and quality outcomes and facilitates appropriate discharge plans. The Case Manager provides patients and their families or caregivers with program orientation, including information about the case manager's role, rehabilitation philosophy, continued-stay and discharge criteria, insurance and Medicare benefits, grievance procedures, the treatment-plan process, and rights and responsibilities. The role coordinates patient and caregiver education, promotes their participation in discussions about plans, goals, and status, and supports implementation of treatment plans that reflect patients' strengths, abilities, needs, and preferences. The Case Manager facilitates patient involvement throughout rehabilitation, documents discharge-planning and psychosocial assessments, communicates social, financial, and discharge needs and preferences, and promotes consistent, positive patient interactions.

Requirements

Current Registered Nurse licensure in Alaska or an RN compact license from a participating compact state.
Associate Degree in Nursing.
At least 2 years of case management experience or at least 3 years of clinical nursing experience.
American Red Cross or American Heart Association Basic Life Support (BLS or BCLS) course and certification.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Certification in case management or utilization review.
InterQual experience.

Responsibilities

Perform utilization review, care coordination, resource management, and discharge planning.
Facilitate interdisciplinary plans of care and evaluate care appropriateness, medical necessity, admission status, level of care, and resource management.
Coordinate activities that support quality outcomes and patient throughput while balancing optimal care with appropriate resource utilization.
Identify barriers to patient throughput and quality outcomes and facilitate appropriate discharge plans.
Orient patients, families, and caregivers to the program, case management role, rehabilitation philosophy, continued-stay and discharge criteria, benefits, grievance procedures, treatment planning, and rights and responsibilities.
Coordinate patient, family, and caregiver education.
Promote patient and caregiver participation in team discussions about plans, goals, and status, including through family conferences and other interactions.
Ensure implementation of treatment plans that support patients' strengths, abilities, needs, and preferences.
Facilitate patient involvement throughout the rehabilitation process.
Document findings from Discharge Planning Evaluations and psychosocial assessments.
Communicate patients' and caregivers' social, financial, and discharge needs and preferences.
Promote consistent, positive patient interactions that advance patient service.

Benefits

Medical, prescription drug, dental, vision, behavioral health, and telemedicine plans.
Wellbeing support, including 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.
Flexible spending accounts.
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.