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Case Manager RN Pediatrics

4 months ago


San Antonio TX, United States Methodist Hospital Full time

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


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 Manager RN Pediatrics opening and continue to learn
The Case Manager will work with patient/families identified to have discharge planning, psychosocial, financial or other needs to develop a plan that will: 1) Optimize functional and self-care abilities; 3) facilitate communication and coordination of efforts among health care team members; and 4) promote quality, cost effective outcomes. Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies resources available to address the needs identified, coordinate referrals and document plan. 
Utilize community resources to support patient’s post hospital needs. Documents choice in available resources has been offered. Attends medical staff and other hospital committee meetings to report findings. 
Keeps current of requirements by JCAHO, HCFA and other state/federal agencies on provision of care, planning and documenting.
Facilitates and or provides education of hospital staff, physicians, patients and caregivers forpurposes of efficient resource utilization 
Provides clinical information to payers upon request for certification and reimbursement of care. Discusses alternate level of care with physician. Refers cases not meeting acute care criteria to Physician Advisor as needed.

What qualifications you will need: Education: Graduate of an accredited diploma, associates, or baccalaureate degree nursing program.

Employee completes initial and ongoing training and competencies as defined by serviceline, facility and department/unit which are specific to the needs of the patient population served (if applicable).
Required:  RN License to practice as a professional registered nursing in the state of Texas orActive Multi-State RN Compact License. (Bachelor of Science in Nursing
 Prefer at least one year experience in utilization review, resource management, discharge planning or case management.


Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. With over 900 beds, Methodist Hospital offers a broad range of specialties including cardiology, oncology, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics. We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.
As the flagship hospital, and most comprehensive medical care facility of Methodist Healthcare, we appreciate the support and recognition we receive from the community. 1 Best Regional Hospital by the U.News and World Report for 2019-20. We pride ourselves on providing the highest quality of care possible for our patients, which is proven by our consecutive Grade A Leapfrog Hospital Safety scores. In addition, Methodist Hospital not only received a Primary Stroke Center designation from The Joint Commission, but has also received a Comprehensive Stroke Center Certification from DNV GL Healthcare, designating the facility as offering the most advanced stroke treatment available in a given geographic area. For more information, please visit our website at and select Methodist Hospital under Locations.

"HCA Healthcare Co-Founder If growth and continued learning is important to you, we encourage you to apply for our Case Manager RN Pediatrics opening. Our team will promptly review your application. 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.