Case Manager RN

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

Benefits offered by this job

Comprehensive benefits

401(k) plan with match

Tuition assistance

Employee stock purchase plan

Flexible spending accounts

Job summary

TriStar Hendersonville Medical Center is seeking a registered nurse Case Manager to coordinate care across inpatient and observation services. You will promote patient-centered care, manage length of stay, and develop safe discharge plans in collaboration with the multidisciplinary team.

The role emphasizes utilization management, resource optimization, and effective communication with physicians, Social Services, and patients to ensure quality outcomes and timely transitions of care.

Qualifications

• RN license required
• Associate degree in nursing or nursing diploma required
• Bachelor's degree in nursing preferred
• 2+ years' case management experience or 3+ years clinical nursing experience required
• InterQual experience preferred

Responsibilities

• Provide case management for inpatient and observation patients.
• Identify patients at risk during transitions of care.
• Assess psychosocial, medical, and discharge needs and plan resources.
• Reassess clinical status and plan mitigations for readmission risk.
• Coordinate care plan and discharge planning with the multidisciplinary team.
• Refer to Social Services when psychosocial risks are identified.
• Engage patient and family in setting goals and expectations.
• Document recommendations and care coordination actions clearly.

Skills

Case management

Discharge planning

InterQual knowledge

Education

RN with Associate degree/diploma

Bachelors in Nursing preferred

Job description

Do you want to join an organization that invests in you as a(an) Case Manager RN? At TriStar Hendersonville 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 for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan 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 of optimal care and appropriate resource utilization.

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.
• Partners with Social Services to ensure the post-acute medical needs and level of care are appropriate.
• Assumes responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified.
• Involves patient and family/responsible/significant others in identifying and 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.
• Makes appropriate referrals to 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

TriStar Hendersonville Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• 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

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

TriStar Hendersonville Medical Center is a 159-bed facility providing quality healthcare to Sumner and surrounding counties for more than 45 years. The facility is the first Accredited Chest Pain Center in Sumner County, a Certified Primary Stroke Center and a designated Level III Trauma Center. The Birth Center at TriStar Hendersonville features a six-bed Neonatal Intensive Care Unit (NICU), spacious maternity suites and a lactation boutique for inpatient and outpatient breastfeeding services. TriStar Hendersonville also offers emergency services, cardiology, neurology, orthopedic, surgical and wound care services. In addition to its main hospital campus, other affiliates include TriStar Women’s Imaging Hendersonville, The Outpatient Center at Hendersonville, TriStar Portland ER and TriStar Portland Diagnostic Center.

In 2022, the hospital was named the first Innovation Hub of HCA Healthcare and Digital Transformation and Innovation (DT&I). The Innovation Hub is a hospital location dedicated to collaborative design and the development of solutions designed to benefit patients and care team members across HCA Healthcare.

Innovation Hubs are central to HCA Healthcare’s commitment to human-centered, clinically-led innovation. They serve as real-life environments for understanding current state friction points, testing, refining, and integrating digital AI solutions to impact how we provide care. This unique environment brings together care teams, administrators, data scientists and technologists to create solutions that will have lasting impact for HCA Healthcare. Learn more about HCA Healthcare and DT&I.

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.

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.