RN Case Manager

HCA Healthcare•Lewisville, TX

10d•Onsite

About The Position

Medical City Lewisville is seeking a Registered Nurse Case Manager to coordinate patient-centered care throughout the hospital stay. The role manages length of stay and resource use, supports appropriate care progression, and develops safe discharge plans in collaboration with patients, families, physicians, Social Services, and the multidisciplinary team. The RN Case Manager promotes quality outcomes, patient throughput, and effective care transitions while balancing optimal care with appropriate resource utilization. This is a full-time day-shift position covering Thursday through Monday. Hours are typically 8:00 a.m. to 4:30 p.m.

Requirements

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

Nice To Haves

Bachelor’s Degree in Nursing preferred.
Case management certification preferred.
InterQual experience preferred.

Responsibilities

Assess patients’ and families’ psychosocial, medical, discharge, and resource needs.
Reassess patients’ clinical conditions as indicated and evaluate readmission risk; develop strategies to mitigate that risk, including education and connection to community resources.
Coordinate the plan of care and drive discharge planning with the multidisciplinary healthcare team, particularly the patient’s physician, to support successful care transitions.
Partner with Social Services to ensure post-acute medical needs and level of care are appropriate, and refer patients promptly when psychosocial determinants of health are identified.
Involve patients, families, responsible parties, and significant others in clarifying needs and expectations and setting mutual, realistic goals.
Evaluate care progression 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 disease states to appropriate third-party payer, disease management, and case management programs.
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 ensure safe discharge and transition.
Communicate professionally and effectively with 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, and take their ethnic, cultural, and religious beliefs and preferences into account.

Benefits

Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
Free counseling and referral services.
Paid time off and 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.