RN Care Management

4 weeks ago


Murfreesboro TN, United States TriStar Centennial Medical Center Full time

With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at TriStar Centennial Medical Center have the opportunity to make a real impact. As a(an) Case Management RN you can be a part of change.
TriStar Centennial Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. 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
~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
~ Retirement readiness, rollover assistance services and preferred banking partnerships
~ Education assistance (tuition, student loan, certification support, dependent scholarships)
~ 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.


It is an exciting time to be a nurse at HCA Healthcare Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) Case Management RN. The 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.


Bachelor’s prepared RN with current state licensure. In lieu of BSN, RN must have 5 years case management experience and complete a bachelor’s of science in nursing within 2 years of hire date 

#5 years of nursing experience with 2 years critical care or 3 years nursing experience with 2 years case management experience preferred. 

# Certification in case management, nursing, or utilization review preferred. 

# 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 

# 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 

# 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 

# 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 

# 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; Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives 

# ensuring that patients’ ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned 

# Demonstrates knowledge human growth and development, assessment, types of treatment, and care of patients appropriate to the ages of patients. .. 

# Documents all patient care. 

# Participates in Performance Improvement activities as assigned. 

# Works with Business Office to manage issue.. 

# TriStar Centennial Medical Center is a 740+ bed comprehensive facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also include neurosciences, oncology, orthopedics, pediatrics, rehabilitation, sleep disorder, and women's services. We are an affiliate of TriStar Health. TriStar Centennial Medical Center is a 43-acre campus. We are home to TriStar Centennial Women's Hospital. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.
HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). In 2019, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"HCA Healthcare Co-Founder Be a part of an organization that leverages our size to make a real impact in our industry Our Talent Acquisition team is reviewing applications for our Case Management RN opening. Submit your application today and help advance the practice of nursing.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


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