RN Case Manager

Medical City Denton; Denton (TX); On-site; USD 75,000 - 105,000; Full time

Benefits offered by this job

Tuition assistance

Student loan assistance

Certification support

Dependent scholarships

Galen College partnership

Job summary

Medical City Denton is seeking an RN Case Manager to coordinate patient care, plan discharges, and optimize transitions across the care continuum.

The role emphasizes collaboration with the multidisciplinary team, utilization management, and ensuring appropriate resources for patient needs. A Texas RN license and nursing experience are essential, with preference for case management certification.

Qualifications

• Current TX RN license required.
• Associate Degree in Nursing or Nursing diploma required; Bachelor's degree preferred.
• 3+ years of clinical hospital nursing experience required OR 2+ years experience in case management.
• Certification in case management preferred.
• InterQual experience preferred.

Responsibilities

• Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family.
• Reassesses the patient’s clinical condition and readmission risk, advising on resources.
• Coordinates the plan of care and drives the discharge plan with the multidisciplinary team.
• In partnership with Social Services, ensures post-acute medical needs and level of care are appropriate.
• Makes timely referrals to third party payer, disease and case management programs.
• Documents professional recommendations and discharge plan to communicate with the health care team.

Skills

RN Case Management

Discharge planning

InterQual knowledge

Communication skills

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing preferred

TX RN license

Job description

Ready for a role that supports your unique calling in patient care and fits your life? At Medical City Denton, you’ll find clear pathways to advance backed by our unmatched nationwide transfer policy that lets you grow your career when the time is right for you. With mentorship opportunities, clinical education courses, professional certification support, and educational assistance, you will have all the resources you need to build the career of a lifetime.

Job Summary And Qualifications

• This is a Full Time Day shift position, 8:00am - 4:30pm Monday - Friday with some weekends

Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. 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

• 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


• In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate


• The RN CM is responsible for timely referral to Social Services when risk factors for psychosocial determinants of health are identified


• Involves patient, 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, 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


• Align patient’s needs with available resources to ensure a safe discharge / transition


• Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies


• Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources


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


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

What Qualifications You Will Need

• Registered Nurse with current TX state license required


• Associate Degree in Nursing or Nursing diploma required, Bachelor's Degree in Nursing preferred


• 3+ years of clinical hospital nursing experience required OR 2+ years experience in case management required


• Certification in case management preferred


• InterQual experience preferred

Benefits

Medical City Denton, 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.

HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). In 2019, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

“Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.”

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC

Senior Vice President and Chief Nurse Executive

HCA Healthcare

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.