Lead Case Manager RN

TriStar Skyline Medical Center; Franklin (TN); On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Time away from work

401(k) plan with match

Education support

Fertility and family building

Job summary

TriStar Skyline Medical Center in Nashville, TN, seeks a capable Lead Case Manager RN to supervise the Case Manager Program and advance discharge planning across inpatient and observation units. You will hire, evaluate, mentor staff and ensure compliance with policy while maintaining high-quality patient care.

You will collaborate with physicians, social services, and multidisciplinary teams to develop safe, timely care transitions, identify at-risk patients, and coordinate resources for

Qualifications

• Current Tennessee RN licensure is required.
• Minimum 2 years of discharge planning experience.
• BSN preferred; CCM and supervisory experience valued.

Responsibilities

• Provides case management services for both inpatient and observation patients as assigned.
• Identifies patients at risk for adverse outcomes during transitions.
• Performs a comprehensive psychosocial and discharge needs assessment.
• Reassesses clinical condition and develops strategies to mitigate readmission risk.
• Coordinates plan of care and facilitates discharge planning with multidisciplinary team.
• Partners with Social Services to ensure post-acute needs are addressed.
• Assumes timely referral to Social Services when risk factors are identified.
• Engages patient and family in identifying needs and goals.
• Evaluates progression of care using InterQual criteria throughout the episode of care.
• Makes referrals to third party payer and disease management programs.
• Facilitates patient throughput with focus on safe transitions.

Skills

Supervisory skills

Discharge planning

Education

BSN

Certified Case Manager

Job description

Do you have the career opportunities as a(an) Lead Case Manager RN you want with your current employer? We have an exciting opportunity for you to join TriStar Skyline Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Job Summary and Qualifications

The Case Management Lead position provides supervision and coordination of the Case Manager Program within the Case Management Department. The Lead is responsible to assist with hiring, completing performance evaluations and competency assessments of all Case Management staff per HCA policy and following the disciplinary process with the assistance of the Director. This position, along with staff designee, provides orientation to new employees. Lead assures that staff stays current with practice guidelines through use of continuing education, training and provision of clinical supervision. It is expected that this position collaborates within the Case Management Department, nurse managers, staff nurses, physicians, ancillary departments and community resources to ensure that a safe, acceptable discharge plan is in place for all patients seen per policy.

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.

What qualifications you will need:

Qualifications:

1. Current Tennessee RN licensure

1. 2 years of discharge planning experience

Valued but not required educational/licensure, skills and experience:

1. BSN

1. Certified Case Manager

1. Previous Supervisory skills

Benefits

TriStar Skyline 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 benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms 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 supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor 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 Skyline Medical Center is a 350+ bed facility. We are Tennessee's first comprehensive stroke center, a state designated Level 1 Trauma Center and a national leader in neuroscience. In addition, we are equipped with 3 helipads, new ICU and Medical/Surgical floors, and burn care services. We offer a CARF accredited Inpatient Rehabilitation program, an Accredited Chest Pain Center with PCI and serves the North Nashville community as a leading provider of emergency heart care.

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.

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.