Case Management RN

Description

Introduction

Are you looking for a place to deliver excellent care patients deserve? At TriStar Skyline Medical Center we support our colleagues in their positions. Join our Team as a(an) Case Management RN and access programs to assist with every stage of your career.

Benefits

TriStar Skyline Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• 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.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Are you a continuous learner? With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our Case Management RN opening and continue to learn!

Job Summary and Qualifications

The Registered Nurse (RN) CM 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 CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.? 

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• ?Provides case management services for both inpatient and observation patients as assigned. 

• ?Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another. 

• ?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 patient's physician to facilitate a successful care transition. 

• ?Partners with Social Services to ensure the post-acute medical needs and level of care are appropriate. 

• ?Assumes responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified. 

• ?Involves patient and 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 and 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. 

• ?Aligns patient 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. 

• ?Actively seeks ways to control costs without compromising patient safety, quality of care, or the services delivered. 

• ?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, 

• ?Participates in performance improvement activities including, but not limited to, identifying, documenting, and intervening when avoidable days occur. 

• ?Adheres to established policy and procedure and standards of care; escalates issues promptly through the established chain of command. 

• ?Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives. 

• ?Serves as an advocate for patient's rights, needs, and values; ensures that patients’ ethnic, cultural, or religious values, beliefs, preferences ,and needs are considered and aligned. 

• ?Performs other duties as assigned. 

• ?Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.” 

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• Associate Degree in Nursing or Nursing Diploma 
• Bachelor’s Degree in Nursing 
• 2+ years experience in case management OR 3+ years experience in clinical nursing 
• InterQual experience