Case Manager Jobs

About The Position

Requirements

• RN licensure in Texas or a Compact State.
• Associate degree or BSN.
• Ability to read, analyze, and understand complex clinical and financial data and apply it to level-of-care criteria and discharge options.
• Strong, broad-based clinical knowledge and understanding of disease pathology and physiology.
• Excellent critical-thinking skills.
• Ability to facilitate ongoing physician communication.
• Ability to organize, prioritize, and manage time efficiently.
• Computer literacy and familiarity with basic office equipment.
• Ability to communicate effectively with hospital personnel, physicians, patients and family members from varied socioeconomic groups, and representatives of outside agencies.
• Ability to communicate effectively with adolescent, adult, and geriatric patients and understand their age-specific needs.
• Understanding of HCA’s Patients First safety initiative and compliance with applicable safety protocols and procedures.
• Awareness of how patient age, race, nationality, culture, disease-related vulnerabilities, and socioeconomic factors affect care, and ability to use appropriate interventions.

Nice To Haves

• Three to five years of clinical experience in an acute healthcare setting.
• Recent work history in acute-care case management or related healthcare experience.
• Working knowledge of case-management philosophy, processes, and role; needs assessment; utilization review and quality-assurance principles; InterQual or other clinical decision-support criteria; discharge planning; and governmental and nongovernmental reimbursement structures.

Responsibilities

• Coordinate delivery of medical services and discharge planning for a specified patient population.
• Perform concurrent and retrospective medical-record reviews for utilization review, compliance, and quality assurance.
• Act as a liaison among patients, families, facility staff, physicians, funding representatives, and community agencies.
• Ensure continuity of clinical information during handoffs from the hospital to other healthcare entities.
• Guide patients and families through program orientation, rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights.
• Coordinate education for patients, families, and caregivers to support participation in treatment planning, goal discussions, and family conferences.
• Develop and implement individualized treatment plans reflecting patients’ strengths, needs, and recovery goals.
• Complete psychosocial assessments and discharge-planning evaluations, document findings, and communicate needs across the care team.
• Collaborate with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure coordinated, patient-centered care.
• Promote HCA Healthcare’s values of compassion, respect, and excellence in interactions with patients and families.
• Follow safety protocols and apply interventions responsive to patients’ age, race, nationality, culture, vulnerabilities, and socioeconomic circumstances.

Benefits

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