Registered Nurse Case Manager PRN

Las Palmas Medical Center; El Paso (TX); On-site; USD 65,000 - 90,000; Part time

Benefits offered by this job

Health insurance

Tuition assistance

Paid time off

Employee discounts

Job summary

Las Palmas Medical Center in El Paso, TX, seeks a Registered Nurse Case Manager PRN to coordinate patient care and discharge planning. You will review medical records for utilization, liaise with patients, families, and hospital staff, and ensure smooth handoffs to post-acute care networks.

Ideal candidates hold TX RN licensure, an Associate or BSN, and 3–5 years acute care case management experience. Demonstrated knowledge of utilization review, InterQual criteria, and strong communication are

Qualifications

• RN license in TX or Compact State required
• Associates Degree or BSN required
• Three-five years clinical experience in acute care case management preferred
• Knowledge of case management philosophy/process and discharge planning preferred
• InterQual or similar criteria familiarity and strong data interpretation skills desired

Responsibilities

• Coordinate delivery of medical services and discharge planning for a defined patient population.
• Perform concurrent and retrospective reviews for utilization review and payer requirements.
• Serve as liaison with patient/family, facility staff, physicians and community agencies.
• Ensure continuity in handoffs of patient information between hospital and other care entities.

Skills

Case management

Discharge planning

Utilization review

Critical thinking

Communication

Education

Associates Degree or BSN

Tools

InterQual

Job description

As a Registered Nurse Case Manager PRN, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.

Job Summary And Qualifications

Provides overall coordination in the delivery of medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including governmental and non-governmental payers and quality assurance agencies. Promotes a cooperative and supportive relationship as liaison with patient, family, facility staff, physicians, funding representatives and community agencies. Ensures continuity in the handoff of patient clinical information from the hospital to other involved healthcare entities. The duties of the acute care Case Manager may be performed as in the integrated or triad model.

What qualifications you will need:

REQUIRED LICENSURE/CERTIFICATIONS:

• RN licensure in the state of TX or Compact State.

REQUIRED EDUCATION/EXPERIENCE:

• Associates Degree or BSN

PREFERRED EDUCATION, LICENSURE, CERTIFICATION, EXPERIENCE, SKILLS, KNOWLEDGE AND ABILITIES:

• Prefer three-five years clinical experience within an acute health care setting with recent work history in acute care case management role or related health care experience. Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality assurance, use of InterQual® or other clinical decision support criteria, discharge planning, and reimbursement structures (i.e. Government and non-governmental payers).
• Ability to read, analyze and comprehend complex clinical and financial data and its application to level of care criteria and discharge options; strong, broad-based clinical knowledge and understanding of pathology/physiology of disease processes; excellent critical thinking skills; assertive personality traits to facilitate ongoing physician communication; organize, prioritize and manage time efficiently. Computer literacy and familiarity with the operation of basic office equipment. Must be able to communicate effectively with a wide range of hospital personnel, physicians, patients/family members within various socioeconomic groups and representatives of varied outside agencies. Ability to communicate effectively with and know the age-specific needs of patients of adolescent, adult and geriatric age.
• Demonstrate an understanding of HCA’s “Patients First” safety initiative through strict compliance to all safety protocols and procedures.
• Recognizes that variables such as age, race, nationality, culture, disease-causing vulnerabilities, and socio-economic factors affect the patient populations under their care. Uses interventions appropriate to these factors (e.g. interpreter, dietary preferences, social service consult, etc)

Benefits

Las Palmas 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

Eligibility for benefits may vary by location.

Las Palmas Medical Center is a 300+ bed full-service hospital in El Paso. It is home to the region’s only kidney transplant center. The facility offers a range of services including emergency care with a Level III trauma center, cardiac care, women’s services, pediatric care and NICU, cancer care, and more. Las Palmas Medical Center is part of Las Palmas Del Sol Healthcare. We are a leading healthcare provider for El Paso and the surrounding region that is part of HCA Healthcare.

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.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse Case Manager PRN opening.

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.