RN Case Manager

2 months ago


San Antonio, United States Methodist Hospital Metropolitan Full time

Description IntroductionMethodist Hospital Metropolitan is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for RN Case Manager position and spend more time at the bedside with the patient.BenefitsMethodist Hospital Metropolitan, 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 let us contribute to yours Whether you choose to focus on bedside care, a leadership or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Methodist Hospital MetropolitanJob Summary and QualificationsThe 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; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of efforts among health care team members; and 4) promote quality, cost effective outcomes. The Case Manager will demonstrate knowledge and skills necessary to develop a plan based on physical, psychosocial, educational and age related criteria. What you will do in this role: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.Tracks resource statistics to identify improvement opportunities. 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 for purposes of efficient resource utilization Performs admission and continued stay reviews. 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.Experience: Minimum of 3 years clinical experience in area in which Case Management will be performed.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. (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date.)Preferred:Bachelor of Science in NursingPrefer at least one year experience in utilization review, resource management, discharge planning or case management.Methodist Hospital Metropolitan houses 370 bed. We house the largest emergency room in downtown San Antonio. Our women’s pavilion is the only freestanding, center city facility dedicated to the health of women and their newborn babies. We welcome nearly 3,000 newborns into the world each year. We are home to the Methodist Weight Loss Center. We have been designated an American Society for Metabolic Surgery Bariatric Surgery Center of Excellence®. Our hospital has been recognized by Modern Healthcare as a Best Place to Work in Healthcare. For the fifth consecutive year we are recognized as a Leader in LGBTQ Healthcare Equality by the Human Rights Campaign (HRC) Foundation. We are the first hospital in San Antonio to achieve Pathway to Excellence designation. Methodist Hospital Metropolitan has been recognized by Leapfrog for focus on safety and quality. We received a Grade A Hospital Safety Score for 8 consecutive rating periods. We are proud to be an Accredited Chest Pain Center by the American College of Cardiology and Primary Stroke Center by the Joint Commission. We were the premier Texas hospital to earn a Gold Seal of Approval for Sepsis Certification. Join our accredited team today."Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare. Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive Join a family that cares about every stage in your career We are interviewing candidates for our RN Case Manager opening. Apply today and a member of our Talent Acquisition team will reach out.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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