RN Case Manager PRN

HCA•Alexandria, LA

29d

About The Position

This is a PRN position to help cover as needed. Hours are typically 8:00am - 4:30pm Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. The RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN Case Manager facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

Requirements

Currently licensed as an RN in the state of practice according to law and regulation
Associate Degree in Nursing or Nursing diploma required, Bachelors Degree in Nursing preferred
3+ years of clinical hospital nursing experience required OR 2+ years experience in case management required

Nice To Haves

Certification in case management preferred
InterQual experience preferred

Responsibilities

Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family
Reassesses the patient's clinical condition as indicated. Considers patient's readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources.
Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patients physician to facilitate a successful care transition
In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate
The RN CM is responsible for timely referral to Social Services when risk factors for psychosocial determinants of health are identified
Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals
Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command
Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease states
Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency
Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
Align patient's needs with available resources to ensure a safe discharge / transition
Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies
Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources
Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
Serve as an advocate for patients rights, needs, and values; ensuring that patients' ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned

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.