Description
Introduction
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:RN Case ManagerHCA Florida Capital Hospital
Benefits
HCA Florida Capital Hospital, 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
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Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
We are seeking a(an) RN Case Manager for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!
Job Summary and Qualifications
The RN CM Care Coordinator will facilitate the interdisciplinary plan of care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care, and resource management. The RN CM Care Coordinator will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. The RN CM Care Coordinator will identify potential barriers to patient throughput and quality outcomes and will facilitate appropriate discharge plans.
ESSENTIAL FUNCTIONS:
Performs a comprehensive assessment of psychosocial and medical needs of assigned patients
Develops a case management plan of care to include identified clinical, psychosocial and discharge needs; coordinates plan of care; plan is documented in the medical record; plan is communicated to appropriate clinical disciplines
Assumes a leadership role with the interdisciplinary team to manage care, through criteria driven processes, for the appropriate level of care, patient status and resource utilization
Conducts interdisciplinary team meetings to provide a mechanism for all clinical disciplines to collaborate, plan, implement, and assess the plan of car; patient selection should be criteria based and interventions will be documented
Evaluates admissions for medical necessity using approved criteria at defined intervals throughout the episode of care; escalates medical necessity and admission status issues through the established chain of command
Evaluates and assess observation patients for appropriateness in observation status
Performs utilization management reviews and communicates information to third party payors
Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies
Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives; monitors self-compliance and implements process changes to ensure compliance to such regulations and quality initiatives as it relates to the provision of Case Management Services
Makes appropriate referrals to third party payer disease and case management programs for recurring patients and patients with chronic disease states
Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
Facilitates patient throughput with an ongoing focus on quality and efficiency
Tracks and trends barriers to care; makes recommendations and develops action plans to improve processes and systems
Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals
Assesses patients’ post discharge needs and facilitates the provision of services necessary to meet identified needs
Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered
Identifies patients with the potential for high risk complications and makes appropriate referrals acting as an advocate for the individual’s healthcare needs
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
Develops individual plans of care for recurring patients to include education on appropriately accessing healthcare resources, preventative education, and community based resources
Assumes a leadership role in the development, revision, and implementation of clinical protocols which transition patients across the continuum of care or discharge patients to an appropriate service level of care
Tracks and trends variances to care and barriers to care; makes recommendations and develops action plans to improve processes and systems
Adheres to established policy and procedure and standards of care; escalates issues through the established Chain of Command timely
Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered.
Demonstrates knowledge of the occurrence reporting system. Uses system to report potential patient safety issues.
Follows established guidelines for reporting a significant medical error or unanticipated outcome in the patient’s care which results in patient harm.
Attends in-service presentations and completes all mandatory education requirements.
Uses Performance Improvement Plan to improve patient safety.
Regular, Punctual and dependable attendance.
Other duties as assigned
What qualifications you will need:
- Associates Degree in Nursing or Diploma in Nursing required
- Bachelor’s Degree in Nursing preferred
- Current FL RN license required or appropriate compact licensure. If compact license held, active FL RN licenserequiredwithin90 days of hire
- Advanced Practice Registered Nurse license is acceptable for position if current and compliant
- Certification in Case Management, Nursing, or Utilization Review, preferred
- Three years of nursing experience in acute care setting is required
- Case Management experience preferred
HCA Florida Capital Hospital is your one-stop solution for all your healthcare needs. We are an accredited healthcare facility with over 1,400 skilled employees and 500+ experienced providers. Our 288-bed, acute-care hospital provides 24/7 Emergency Services in Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain Center w/PCI-Resuscitation, Family Center, Heart & Vascular Center, Imaging Services, Neonatal Intensive Care Unit, Orthopedic/Spine Center, Physical Therapy Services, Rehabilitation Center, Stroke Center, Surgical Services, Surgical Weight Loss Center, Network-of-Care Affiliated Physician Practices, and much more. Trust us to give you compassionate care and exceptional service.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.