Registered Nurse Case Manager

Description

Introduction

Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Houston Healthcare Medical Center our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family.

Benefits

HCA Houston Healthcare 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.

At HCA Houston Healthcare Medical Center, our nurses play a vital part. We know that every nurse’s path and purpose is unique. Do you want to create your own personal career path in nursing? HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life – for life – and empowers their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity.

Job Summary and Qualifications

In collaboration with the patient/family, social workers, physicians and interdisciplinary team, the case manager ensures patient progression through the continuum of care in an efficient and cost-effective manner. The case manager is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning are accountabilities of this role. Working closely with the House Supervisor related to bed management, bed capacity issues are addressed in a timely manner and on an ongoing basis. Education is provided to physicians and other members of the team on issues related to utilization review including inappropriate admissions and placements. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent. The case manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually assuring quality patient care and regulatory compliance.

What you will do in this role:

• Uses established medical necessity criteria and as described by policy to conduct screening for appropriateness of admission (IP verses Observation) and continued stay for intensity of service/severity of illness. Escalates cases as appropriate and per policy to [Physician Advisor and Director]. Collaborates with the House Supervisor relative to bed management to ensure appropriate bed placement based on level of care
• Conducts admission and concurrent medical record review using specific indicators and InterQual criteria in accordance with regulatory and contractual requirements as well as internal policy and hospital compliance standards
• In collaboration with the patient/family, physicians and interdisciplinary team, the case manager ensures patient progression through the continuum in an efficient and cost-effective manner. The case manager is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management
• Coordinates and implements the discharge plan for patients with post-care needs (i.e. home health, DME, transfers to SNF, etc.) incollaboration with the social worker
• Coordinates the integration of social services/case management functions into the patient care, discharge, and home planning processes in collaboration with other hospital departments, external service organizations, agencies and healthcare facilities.

What qualifications you will need:

• (RN) Registered Nurse
• Associate Degree, or Bachelors Degree, or Masters Degree, or Registered Nurse Diploma
• Minimum of five (5) years recent acute care experience required. Minimum of two (2) years of utilization review/case management experience and minimum of one (1) year experience in discharge planning in an acute care setting highly desirable.
• Current RN state of Texas license

HCA Houston Healthcare Medical Center is a 445+ bed acute care hospital located in the heart of central Houston, adjacent to the Medical Center and Museum District, and provides quality care for the greater Houston area. Established in 1975, our hospital has been serving Houston for more than 40 years. We provide a wide range of medical services, including cardiology, bariatrics, orthopedics, neurology, emergency care and more. Our comprehensive medical specialties are here to offer individualized care to every individual that walks through our doors. We also offer 24/7 emergency services and two intensive care units: surgical intensive care unit (SICU) and medical intensive care unit (MICU). We are an accredited Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Center and an accredited Chest Pain Center with Primary PCI. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

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.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse Case Manager opening. Apply today and a member of our Talent Acquisition team will reach out.

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.