RN Case Manager

Description

Hourly Wage Estimate: $39.68 - $56.74 / hour
Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Introduction

Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Rose Medical Center have the opportunity to make a real impact. As a(an) RN Case Manager you can be a part of change.

Benefits

Rose 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.

It is an exciting time to be a nurse at HCA Healthcare Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) RN Case Manager. We want your knowledge and expertise

Job Summary and Qualifications

The RN Case Manager 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

What you will do in this role:

• 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
• 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
• Involves patient, 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, 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
• Align patient’s 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 through the established chain of command timely
• Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
• Serve as an advocate for patient's rights, needs, and values; ensuring that patients’ ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned
• Other duties as assigned

What qualifications you will need:

• Current licensure in the State of Colorado as a Registered Nurse, or current active multistate Registered Nurse license
• Graduate of an accredited School of Nursing. Bachelor of Science Nursing preferred. Certification in case management or utilization review preferred
• Three years’ clinical, hospital nursing experience required with preference given to those with 2 years of case management experience or 2 years of critical care experience. InterQual experience preferred
• Ability to establish and maintain collaborative and effective working relationships. Ability to communicate effectively in oral, written and electronic formats. Demonstrates analytical and critical thinking abilities with proactive decision-making and negotiation skills

For over 70 years, Rose Medical Center has provided exceptional care to the Denver area while being known as “Denver’s baby hospital.” As a 422 plus bed facility, we have become a respected leader in comprehensive women's services, internal medicine, endoscopy, heart and vascular care, orthopedics and total joint replacement, bariatric surgery, sports medicine and aesthetic surgery. As a HCA Healthcare and HealthONE affiliate, our core value is to improve human life each day at our hospital through caring for both our patients and our people. At Rose Medical Center, we take great pride in hiring the best people to provide care for our patients and families. We are honored to have been named a Denver Post Top Workplace for the past five years, a true badge of honor as the award is voted on by Rose employees.

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

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 RN Case Manager 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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