Manager Case Management RN

Description

Introduction

We are seeking a Manager Case Management RN with Mission Hospital to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us

Benefits

Mission 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
  
• 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.

We are seeking a Manager of Case Management for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us

Job Summary and Qualifications

The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care by coordinating all aspects of hospital based case management for his/her assigned area of responsibility in alignment with the goals of the Case Management Department. The Manager for Case Management is accountable for the overall day-to-day oversight and management of the case management program including coordination, supervision, and administrative oversight of the case management team. The Manager for Case Management functions as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for the members of the case management team. The Manager for Case Management supervises and monitors professional and support staff and ensures that effective care coordination and case management practices are consistent with hospital policies, and applicable regulations and guidelines. The Manager for Case Management monitors quality of the interactions, documentation and assessments of the case management staff. The Manager for Case Management coordinates activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. 

Major Responsibilities: 

•  Serves as a role model and functions as a clinical resource for staff. 
• Supervises and facilitates development of staff and oversees the day-to-day tasks/activities in the department. 
• Ensures staff are competent in the use of InterQual to progress the plan of care. 
• Works collaboratively and maintains active communication with physicians, nurses, and other members of the interdisciplinary care team to effect timely, appropriate patient management. 
• Monitors the quality of CM interactions with patients, families, physicians, and the multidisciplinary team by regularly shadowing staff to ensure clear understanding and adherence to department processes. 
• Monitors quality of documentation and assessments by regularly auditing the case managers’ documentation. Participates in clinical performance improvement activities. 
• Communicates effectively with patients, family, medical staff, care team members, students, supervisors, and outside contacts. 
• Assumes responsibility of the department in the absence of the Director. 
• Assumes responsibility for scheduling and staffing of department. 
• Assumes responsibility for department education and competencies. 
• Completes daily, weekly and monthly reports as assigned by the Director of Case Management. 
• Covers staff assignments as needed.. 
• Seeks ways to control costs without compromising patient safety, quality of care, or the services delivered. 
• Adheres to established policy and procedure and standards of care; escalates issues promptly through the established chain of command. 
• Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives. 
• Serves as an advocate for patient's rights, needs, and values; ensures that patients’ ethnic, cultural, or religious values, beliefs, preferences ,and needs are considered and aligned. • Performs other duties as assigned. 
• Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.” 

What qualifications you will need:

• Required Education: Associate Degree in Nursing or Nursing Diploma
• Preferred Education: Bachelor’s Degree in Nursing
• Required Experience:  3+ years experience in clinical nursing
• Preferred Experience: 2+ years supervisory experience. InterQual experience.
• Required Credentials: Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation.
• Preferred Credentials: Certification in Case Management, Certification in InterQual or IQCI

Mission Hospital is located in Asheville, North Carolina. This is Mission Health's flagship hospital, licensed for 815 beds. Healthgrades named Mission Hospital as of one America's 50 Best Hospitals from 2020-2023. Mission Hospital is in the top 1% of hospitals in the nation for providing the highest clinical quality year over year. Leapfrog Hospital Safety Grade recognized Mission Hospital with an "A," nationally recognizing Mission Hospital's achievements in protecting patients and providing safer healthcare. Mission Hospital also earned the prestigious Magnet® Designation in November 2020. This is the highest international honor that distinguishes organizations that meet rigorous nursing excellence standards. We are the regional referral center for tertiary and quaternary care. We are the region's only Level II trauma center. Mission Hospital also includes Mission Children's Hospital. The region's only children's hospital - providing 30 pediatric sub-specialists. We're the busiest surgical hospital west of Raleigh, North Carolina. We are the second-busiest in the state. Mission Hospital provides the only open heart and interventional cardiology in the region. We are the only Cyberknife provider west of Raleigh.

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

Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.

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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