RN Case Manager PRN

Medical City Healthcare; Lewisville (TX); On-site; USD 55,104 - 68,880; Part time

Benefits offered by this job

Comprehensive benefits

401(k) with match

Tuition assistance

Flexible scheduling

Employee stock purchase plan

Job summary

Medical City Lewisville is seeking an experienced RN Case Manager to coordinate patient care and drive efficient transitions from hospital to home. This PRN role covers day shifts and requires collaboration with a multidisciplinary team to ensure safe, effective discharge planning.

The ideal candidate will bring a TX RN license, an ADN/ Diploma with a Bachelor’s preferred, and 2–3+ years of acute care or case management experience, plus familiarity with InterQual criteria and social services

Qualifications

• 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.

Responsibilities

• 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. Educates on resources and prevention to mitigate readmission risk.
• Coordinates the plan of care and drives the discharge plan with the multidisciplinary team to facilitate a successful care transition.
• In partnership with Social Services, ensures post-acute medical needs and level of care are appropriate.
• Makes referrals to third party payer, disease and case management programs for recurring patients.

Education

TX RN License

Associate Degree in Nursing

Nursing Diploma

Bachelor’s Degree in Nursing

Job description

Stroke response times nearly half of the national average. Cutting-edge SPOT Technology that detects sepsis earlier than the human eye. An Enhanced Surgical Recovery program that reduces opioid prescriptions and post-surgical readmissions. As a national learning health system, we're transforming care delivery, advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give people a healthier tomorrow. Join us!

Job Summary And Qualifications

• This is a PRN Day Shift position, hours are typically 8:00am-4:30pm, and will help to cover both weekdays and 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

• 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.

Medical City Lewisville is a full-service 190+ bed medical and surgical facility. We offer a broad spectrum of care to the communities of southern Denton County. Our patient tower has two floors dedicated to women’s services. We have a Level III Neonatal Intensive Care Unit. Medical City Lewisville is a Level III Trauma Center and a Primary Stroke Center. Excellent customer service and patient safety are our top priorities. We have over 360 physicians and 800 healthcare associates. We offer a supportive environment, advanced technologies, and innovative medicines. This allows us to treat our patients with the highest quality health care in a comfortable setting. We are a part of the Medical City network of hospitals and specialists. Our patients are ensured access to leading medical experts and advanced healthcare innovations across the network.

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 RN 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.