Nurse Manager of Case Management

Parkridge Medical Center; Chattanooga (TN); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

401(k) match

Employee stock purchase plan

Education assistance

Tuition support

Family benefits

Employee discounts

Job summary

Parkridge Medical Center in Chattanooga, TN seeks a Nurse Manager of Case Management to lead the case management program, coordinate resources, and advance patient-centered care. The manager will supervise staff, ensure InterQual proficiency, and partner with physicians and care teams to optimize outcomes.

The role emphasizes performance improvement, documentation quality, staffing, and cost-control while upholding regulatory standards and patient advocacy.

Qualifications

• Associate’s Degree in Nursing required; Bachelor’s in Nursing preferred.
• Current licensure as a Registered Nurse (RN) in state of Tennessee or compact state required.
• 3 years of clinical nursing experience required.
• 2 years of related leadership experience preferred.
• InterQual experience preferred.
• Certification in Case Management preferred.
• Certification in InterQual or IQCI preferred.

Responsibilities

• Serve as a role model and function as a clinical resource for staff.
• Supervise and facilitate development of staff and oversee the day-to-day tasks/activities in the department.
• Ensure staff are competent in the use of InterQual to progress the plan of care.
• Work collaboratively and maintain active communication with physicians, nurses, and other members of the interdisciplinary care team to effect timely, appropriate patient management.
• Monitor the quality of CM interactions with patients, families, physicians, and the multidisciplinary team by regularly shadowing staff to ensure clear understanding and adherence to department processes.
• Monitor quality of documentation and assessments by regularly auditing the case managers’ documentation.
• Participate in clinical performance improvement activities.
• Communicate effectively with patients, family, medical staff, care team members, students, supervisors, and outside contacts.
• Assume responsibility of the department in the absence of the Director.
• Assume responsibility for scheduling and staffing of department.
• Assume responsibility for department education and competencies.
• Complete regular reports assigned by the Director of Case Management.
• Cover staff assignments as needed.
• Seek ways to control costs without compromising patient safety, quality of care, or the services delivered.
• Adhere to established policy and procedure and standards of care; elevate issues promptly through the established chain of command.
• Demonstrate knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.
• Serve as an advocate for patient’s rights, needs, and values; ensure that patients’ ethnic, cultural, or religious values, beliefs, preferences, and needs are considered.

Skills

Leadership

InterQual

Case Management

Education

Associate’s Degree in Nursing

Bachelor’s in Nursing

RN licensure in TN or compact state

Certification in Case Management

Certification in InterQual or IQCI

Tools

InterQual

Job description

Introduction

We are seeking a Nurse Manager of Case Management with Parkridge Medical Center to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us!

Benefits

Parkridge 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 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 wellbeing


• 401(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 stock


• Family 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 more


• Consumer discounts through Abenity and Consumer Discounts


• Retirement readiness, rollover assistance services and preferred banking partnerships


• Education assistance (tuition, student loan, certification support, dependent scholarships)


• Colleague recognition program


• Time 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 Benefits

Note: Eligibility for benefits may vary by location.

We are seeking a Nurse Manager of Case Management for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us!

Job Summary and Qualifications

The Manager of Case Management Services is responsible for promoting patient-centered care by coordinating all aspects of hospital-based case management for the assigned area(s) of responsibility in alignment with the goals of the Case Management Department. The Manager is accountable for the overall day-to-day oversight and management of the case management program including coordination, supervision, and administrative oversight of the case management team. The Manager functions as an expert clinical practitioner, case management subject-matter expert, resource, advisor, and leader for the members of the case management team. The Manager supervises and monitors professional and support staff and ensures that effective care coordination and case management practices are consistent with hospital policies, and applicable regulations and guidelines. The Manager monitors quality of the interactions, documentation, and assessments of the case management staff. The Manager coordinates 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:

• Serve as a role model and function as a clinical resource for staff.


• Supervise and facilitate development of staff and oversee the day-to-day tasks/activities in the department.


• Ensure staff are competent in the use of InterQual to progress the plan of care.


• Work collaboratively and maintain active communication with physicians, nurses, and other members of the interdisciplinary care team to effect timely, appropriate patient management.


• Monitor the quality of CM interactions with patients, families, physicians, and the multidisciplinary team by regularly shadowing staff to ensure clear understanding and adherence to department processes.


• Monitor quality of documentation and assessments by regularly auditing the case managers’ documentation.


• Participate in clinical performance improvement activities.


• Communicate effectively with patients, family, medical staff, care team members, students, supervisors, and outside contacts.


• Assume responsibility of the department in the absence of the Director.


• Assume responsibility for scheduling and staffing of department.


• Assume responsibility for department education and competencies.


• Complete regular reports assigned by the Director of Case Management.


• Cover staff assignments as needed.


• Seek ways to control costs without compromising patient safety, quality of care, or the services delivered.


• Adhere to established policy and procedure and standards of care; elevate issues promptly through the established chain of command.


• Demonstrate knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.


• Serve as an advocate for patient's rights, needs, and values; ensure that patients’ ethnic, cultural, or religious values, beliefs, preferences, and needs are considered.

What qualifications you will need:

• Associate’s Degree in Nursing required; Bachelor’s in Nursing preferred.


• Current licensure as a Registered Nurse (RN) in state of Tennessee or compact state required.


• 3 years of clinical nursing experience required.


• 2 years of related leadership experience preferred.


• InterQual experience preferred.


• Certification in Case Management preferred.


• Certification in InterQual or IQCI preferred.

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.

Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.

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.