RN Case Manager

HCA Healthcare•Fort Worth, TX

13h

About The Position

The RN Case Manager coordinates patient-centered care throughout the hospital stay, manages length of stay and resource use, and develops a safe and appropriate discharge plan with the multidisciplinary team. The role facilitates the progression and transition of care using established criteria, while promoting quality outcomes, patient throughput, and an appropriate balance between care and resource utilization. This is a full-time day-shift position. Hours are typically 8:00 a.m.–4:30 p.m., Monday through Friday, with some weekends. The RN Case Manager works with patients and families, physicians, hospital staff, Social Services, and outside agencies to assess needs, coordinate care, support discharge and care transitions, and advocate for patients’ rights, needs, and values.

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, as well as the resources available and appropriate to them.
Reassess patients’ clinical conditions as indicated.
Consider readmission status or risk and develop mitigation strategies, including education on accessing healthcare resources, preventive education, and community-based resources.
Coordinate the plan of care and discharge plan by collaborating with the multidisciplinary team, especially the patient’s physician.
Partner with Social Services to ensure post-acute medical needs and level of care are appropriate.
Refer patients to Social Services in a timely manner when psychosocial determinant-of-health risk factors are identified.
Involve patients and their families or responsible parties in clarifying needs and expectations and developing mutual, realistic goals.
Evaluate progression of care using evidence-based tools and approved criteria, including InterQual, and escalate progression or transition issues through the established chain of command.
Refer recurring patients and patients with chronic conditions to third-party payer, disease, and case management programs as appropriate.
Facilitate patient throughput with an ongoing focus 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 a safe discharge or transition.
Communicate professionally and effectively as a liaison among physicians, patients and families, hospital staff, and outside agencies.
Identify and address the needs of under-resourced patients, including through patient 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, considering their ethnic, cultural, and religious beliefs, preferences, and needs.

Benefits

Medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage.
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.
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.