Case Manager RN

TriStar Summit Medical Center; Nashville (TN); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical coverage

Dental & Vision

401(k) match

Education assistance

Fertility and family benefits

Job summary

TriStar Summit Medical Center is seeking a Case Manager RN to coordinate patient care, manage length of stay and develop safe discharge plans in collaboration with a multidisciplinary team. The role focuses on quality outcomes, resource utilization and appropriate transitions of care from inpatient to next levels of care.

The ideal candidate will hold an RN license with ADN/ diploma and have 2+ years of case management or 3+ years nursing experience, preferably with InterQual experience.

Qualifications

• RN license required.
• ADN or nursing diploma required.
• BSN preferred.
• 2+ years’ case management or 3+ years’ clinical nursing experience required.

Responsibilities

• Provides case management services for inpatient and observation patients.
• Identify patients at risk for adverse outcomes during transitions of care.
• Assess psychosocial, medical and discharge needs and available resources.
• Reassess patient’s condition and plan -> educate on resources and prevent readmissions.
• Coordinate care plan and discharge with multidisciplinary team and physician.
• Collaborate with Social Services for post-acute needs.
• Refer patients to third party payer and disease management programs.
• Facilitate patient throughput with focus on quality and efficient transitions.

Education

Associate Degree in Nursing or Nursing Diploma

Bachelor’s Degree in Nursing

Tools

InterQual

Job description

Do you want to join an organization that invests in you as a(an) Case Manager RN? At TriStar Summit 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

TriStar Summit 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

TriStar Summit is a 230+ bed comprehensive facility. We serve Davidson, Wilson and surrounding counties. We include a Level III Trauma Center. We offer a full array of acute care services. These include cardiology, oncology, orthopaedics/spine, rehabilitation and women’s services. We are an Accredited Chest Pain Center with PCI. We are a Primary Stroke Center. TriStar Summit is a leading provider of emergency heart and stroke care.

Note: Eligibility for benefits may vary by location.

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

HCA Healthcare Co-Founder

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.