Case Manager RN

Parkridge Medical Center; Chattanooga (TN); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Time away from work programs

401(k) Plan with company match

Employee Stock Purchase Plan

Tuition assistance

Fertility and family benefits

Life insurance

Job summary

Parkridge Medical Center in Chattanooga, TN, is seeking a Case Manager RN to coordinate patient care, plan discharges, and drive transitions with a multidisciplinary team. You will assess psychosocial and medical needs, ensure resource utilization, and promote safe, efficient care pathways.

The role emphasizes collaboration with Social Services, adherence to criteria (InterQual), and timely referrals to support post-acute care and patient outcomes.

Qualifications

• RN License is required.
• An Associate Degree in Nursing or Nursing Diploma is required.
• Bachelor’s Degree in Nursing is preferred.
• 2+ years of case management experience or 3+ years of clinical nursing experience are required.
• InterQual experience is preferred.

Responsibilities

• Provides case management services for inpatient and observation patients as assigned.
• Identifies patients at risk for adverse outcomes during transitions of care.
• Performs psychosocial, medical and discharge needs assessments.
• Reassesses clinical condition and readmission risk, developing mitigation strategies.
• Coordinates plan of care and drives discharge planning with the multidisciplinary team.
• Partners with Social Services to ensure post-acute needs and appropriate level of care.
• Ensures timely referral to Social Services when psychosocial risk factors are identified.
• Involves patient and family in identifying needs and setting goals.
• Evaluates progression of care using evidence-based tools and criteria.
• Makes referrals to third party payer and disease/case management programs.
• Facilitates patient throughput and safe transitions, focusing on quality and efficiency.
• Documents recommendations and care coordination activities for the health care team.

Skills

Case management experience

Discharge planning

Multidisciplinary collaboration

InterQual knowledge

Education

RN License

Associate Degree in Nursing or Nursing Diploma

Bachelor’s Degree in Nursing (preferred)

Tools

InterQual system

Job description

Do you want to join an organization that invests in you as a(an) Case Manager RN? At Parkridge Medical Center, 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.

Job Summary And Qualifications

The RN Case Manager is responsible forpromoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuringappropriate resourcemanagementand developing a safeappropriate dischargeplan in collaboration with the multidisciplinary team.The RN Case Manager facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team.The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance ofoptimalcare andappropriate resourceutilization.

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 resourcesappropriateand available to the patient/family.
• Reassessesthe patient’s clinical condition asindicated. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, andcommunity basedresources.
• 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.
• Partners with Social Services to ensure the post-acute medical needs and level of care areappropriate.
• Assumes responsibility fortimelyreferral to Social Services when risk factors for psychosocial determinants of health areidentified.
• Involves patient and family/responsible/significant others inidentifyingand 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.
• Makesappropriate referralsto third party payer and 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.
• Aligns patient needs with available resources to ensure a safe discharge/transition.
• Practices and adheres to the "Code of Conduct" and "Mission and Value Statement"

What qualifications you will need:

• RN License (required)
• Associate Degree in Nursing or Nursing Diploma (required)
• Bachelor’s Degree in Nursing(preferred)
• 2+ years’ experience in case management OR 3+ years’ experience in clinical nursing (required)
• InterQual experience (preferred)

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Note: Eligibility for benefits may vary by location.

Parkridge Medical Center is a 270+ bed hospital. We are near downtown Chattanooga. We feature comprehensive diagnostic, medical, and surgical services. These services include cardiovascular surgery and cancer treatment. These services include intensive care, orthopedic and spine surgery, and rehabilitation. The facility includes a state of the art neurosurgery program. Patients also have access to OB-GYN services. Patients have access to a level III Neonatal Intensive Care Unit. They also have access to (NICU) and behavioral health treatment centers for children and adults.

"Good people beget good people." - Dr. Thomas Frist, Sr.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.