RN Case Manager

Description IntroductionDo you want to join an organization that invests in you as a(an) RN Case Manager? At HCA Florida Kendall Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.BenefitsHCA Florida Kendall 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 wellbeing401(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 stockFamily 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 moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime 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 BenefitsNote: Eligibility for benefits may vary by location.You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated RN Case Manager like you to be a part of our team.Job Summary and QualificationsThe Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to ensure optimum outcomes. The CM provides, coordinates, and directs care specific to the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts within the Rehabilitation team.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.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.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 assignedWhat qualifications you will need:RN with current state licensure; BSN preferredThree years’ clinical acute care (i.e. Med-Surg, Tele, PACU, PCU, ICU, CVICU etc.) hospital nursing experience requiredCertification in case management or utilization review preferredInterQual experience preferred HCA Florida Kendall Hospital is located in west Miami-Dade County. Our acute care facility has 417-beds. Our services include trauma, burn, surgical, women’s and children’s services, behavioral health and diagnostic services. We have two full service free-standing ER facilities. HCA Florida Kendall Hospital has received the Distinguished Hospital Award for Overall Clinical Excellence from HealthGrades. This national recognition places us in the top 5% of hospitals for overall clinical quality. We are a Level I Adult and Pediatric Trauma Center certified by the Florida Department of Health. We are verified as a Level I Adult Trauma Center by the American College of Surgeons. The hospital is certified by the Joint Commission as a Thrombectomy-Capable Stroke Center. We are one of five American Burn Association's verified Burn Centers in the state. With six ACGME accredited Graduate Medical Education programs, we strive to be a leading community-based research hospital. Join our team at HCA Florida Kendall Hospital and experience a dynamic career. One that rewards clinical professionals for their commitment, provides growth opportunities. We encourage you to enjoy a healthy lifestyle outside of work in a diverse and friendly community.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. "Good people beget good people."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals Our Talent Acquisition team is reviewing applications for our RN Case Manager opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caringWe 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.