RN Case Manager PRN

HCA Healthcare•Arlington, TX
•Onsite

About The Position

The RN Case Manager promotes patient-centered care by coordinating the plan of care during a patient’s stay, managing length of stay, ensuring appropriate resource use, and developing safe, appropriate discharge plans in collaboration with the multidisciplinary team. The role facilitates progression and transition of care using established criteria, and supports quality outcomes, patient throughput, and a balance of optimal care and appropriate resource utilization. This is a PRN day-shift position. Hours are typically 8:00 a.m. to 4:30 p.m., with coverage on weekdays and weekends as needed. The RN Case Manager works with patients, families, physicians, hospital staff, Social Services, and outside agencies to coordinate care and transitions, assess needs and available resources, and advocate for patient rights, needs, values, and preferences.

Requirements

  • Current Texas Registered Nurse license.
  • Associate Degree in Nursing or nursing diploma.
  • At least 3 years of clinical hospital nursing experience or at least 2 years of case management experience.

Nice To Haves

  • Bachelor’s Degree in Nursing.
  • Certification in case management.
  • InterQual experience.

Responsibilities

  • Assess patients’ and families’ psychosocial, medical, and discharge needs, along with appropriate and available resources.
  • Reassess patients’ clinical conditions as indicated.
  • Consider readmission status or risk and develop mitigation strategies, including education on accessing healthcare resources, prevention, and community-based resources.
  • Coordinate the plan of care and discharge plan with the multidisciplinary team, particularly the patient’s physician, to facilitate successful care transitions.
  • Partner with Social Services to ensure post-acute medical needs and level of care are appropriate.
  • Refer patients to Social Services promptly when psychosocial determinant of health risk factors are identified.
  • Involve patients and their families or significant others in clarifying needs and expectations and establishing mutual, realistic goals.
  • Evaluate care progression throughout the episode using evidence-based tools and approved criteria, including InterQual, and escalate progression or transition issues through the established chain of command.
  • Refer patients to third-party payer, disease, and case management programs when appropriate, including recurring patients and those with chronic conditions.
  • Facilitate patient throughput while focusing on effective care transitions, quality, and efficiency.
  • Document professional recommendations, discharge plans, care coordination interventions, and case management activities for the healthcare team.
  • Align patient needs with available resources to support safe discharge or transition.
  • Communicate professionally and serve as a liaison among physicians, patients and families, hospital staff, and outside agencies.
  • Identify and address the needs of under-resourced patients through education, assistance programs, and community-based resources.
  • Demonstrate knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.
  • Advocate for patients’ rights, needs, and values, taking their ethnic, cultural, and religious beliefs, preferences, and needs into account.

Benefits

  • Medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage.
  • Wellbeing support, including free counseling and referral services.
  • Time-away programs, including paid time off, paid family leave, 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, 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.
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