nurse case management

Valley Regional Medical Center

<p></p><div><h5 class="jobSectionHeader"><b>Introduction</b></h5><p>
Are you looking for a place to deliver excellent care patients deserve? At Valley Regional Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse RN Case Management and access programs to assist with every stage of your career.</p><h5 class="jobSectionHeader"><b>
Benefits</b></h5><p>
Valley Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p><ul><li>
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.</li><li>
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.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing<br>
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)<br>
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock<br>
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance.<br>
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more<br>
</li><li>
Consumer discounts through Abenity and Consumer Discounts<br>
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships<br>
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships)<br>
</li><li>
Colleague recognition program<br>
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)<br>
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul><p>
Learn more about Employee Benefits</p><p><b><i>
Note: Eligibility for benefits may vary by location.</i></b></p><p><br>
Are you a continuous learner? With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our Registered Nurse RN Case Management opening and continue to learn!</p><h5 class="jobSectionHeader"><b>
Job Summary and Qualifications</b></h5><p></p><p>
As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient&rsquo;s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care.</p>
<p><b>Your responsibilities will include:</b></p>
<p></p><ul><li>Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights</li><li>
Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences</li><li>
Developing and implementing individualized treatment plans that reflect the patient&rsquo;s strengths, needs, and personal recovery goals</li><li>
Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team</li><li>
Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care</li><li>
Promoting HCA Healthcare&rsquo;s values of compassion, respect, and excellence through every patient and family interaction</li></ul>
<p></p><h6 class="jobSectionHeader"><b>What qualifications you will need:</b></h6><ul><li>
Basic Cardiac Life Support must be obtained within 30 days of employment start date</li><li>
(RN) Registered Nurse</li><li>
Masters Degree, or Bachelors Degree, or Associate Degree</li><li>
1 year RN Case Manager experience in an acute care setting</li></ul><p></p><p>
Founded as Valley Community Hospital in 1975, Valley Regional Medical Center proudly serves Brownsville, TX and the surrounding communities in the Rio Grande Valley. Valley Regional Medical Center is a licensed <b>215+ bed facility</b> with over 200 physicians representing 25+ specialties. From emergency medicine, to diagnostic imaging services, and caring for newborn babies, Valley Regional Medical Center is the hospital that families count on when they are looking for quality healthcare close to home. We are a designated <b>Advanced Level III Trauma Center and an Advanced Primary Stroke Center</b>. Our Heart and Vascular services include a full-range of cardiac services including minimally invasive and open-heart surgery, cardiac cath lab, heart imaging services and more. Our women&rsquo;s department includes labor, delivery and recovery in a home-like setting. We also have a C-section operating room on standby 24 hours a day and a <b>Level III Neonatal Intensive Care Unit</b> equipped with specially trained staff. Innovation and an unwavering commitment to patient care are the cornerstones of our hospital. Come experience our family centered culture at Valley Regional.</p><p>
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; 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.</p><br>
<br>
<p></p><p>&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder</p>
<p>If growth and continued learning is important to you, we encourage you to apply for our Registered Nurse RN Case Management opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. <b>Unlock the possibilities apply today!</b></p><p><i>
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.</i></p></div>

Registered Nurse RN Case Management PRN

Your Health

<div>
 Back to Job Openings
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 Nurse Case Manager - Registered Nurse
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 Greenville SC, Lyman SC, Greer SC
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 Apply
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 Share
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 <strong>
  We are seeking Registered Nurse to service our patients throughout the Greenville area.
 </strong>
 The role of the Nurse Case Manager position is a critical part of the patient&rsquo;s care team. The nurse will visit patients and facilitate with appropriate provider. The Nurse Case Manager will be required to travel to patients&rsquo; homes, long-term care facilities, etc. to evaluate patients and initiate telemedicine visits. Provide quality healthcare in adherence to all applicable laws, regulations, and policies within the scope of practice.
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  Nurse Case Manager's perform visits in homes and facilities (ALF and ILF's) in their designated service area
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  You must have reliable transportation as travel is required daily.
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 This is a full time, salary-based working 8-hr shifts Monday-Friday (8am-5pm)
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  The Following Service Area(s) Are Currently Available
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   Greenville area
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 <strong>
  About
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 </strong>
 We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.
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 <strong>
  Why Choose a Career at Your Health?
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 </strong>
 Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.
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   Competitive Compensation Package with Bonus Opportunities
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   Employer Matched 401K
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   Free Visit &amp; Prescriptive Services with HDHP Insurance Plan
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   Employer Matched HSA
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   Generous PTO Package
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   Career Development &amp; Growth Opportunities
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   Vehicle allowance
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 <strong>
  What Are We Looking For?
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 </strong>
 Your Health is currently looking for a Registered Nurse to join our growing primary care family. A successful Nurse Case Manager will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.
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 <br/>
 The following is a list of essential functions, which may be subject to change at any time and without
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 notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s).
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  Area Of Responsibility
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   Facilitate receiving all medical records from the patient&rsquo;s primary provider and specialists.
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   Review medical records.
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   Complete consents with patients.
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   Enroll patients in Care Management, if they meet eligibility criteria.
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   Initiate a Care Management Plan of Care, if the patient is eligible.
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   Capture all diagnoses at the highest specificity by creating gaps and ensure they are accepted.
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   Complete AWV&rsquo;s to be reviewed by the provider.
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   Complete cognitive impairment screenings.
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   Complete Social Determinants of Health (SDoH) assessments and/or screenings.
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   Complete ACP&rsquo;s to be reviewed with the patient by the provider.
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   Evaluate for home health, hospice, palliative, or consults with Your Health Specialty Division, etc.
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   Evaluate for RPM devices, resources, or tools that may improve the patient&rsquo;s quality of life.
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   Communicate and coordinate care.
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   Reconcile prescribed and OTC medications, vitamins, supplements, herbal remedies, and other treatments.
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   Provide post-discharge education.
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   Evaluate for adaptive equipment and DME.
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   Evaluate for safe environment.
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   Evaluation of acute condition(s) or follow-up from previous visit.
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   Appropriately and accurately document and log Care Management activities. Work in conjunction with care team to keep the patients Care Management care plans up to date.
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  Qualifications
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   Must be a licensed nurse. Registered nurse preferred. License must be in good standing with appropriate board/issuer.
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   A minimum of three (3) years clinical experience preferred.
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   Experience in community settings preferred.
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   Proven ability to effectively communicate and collaborate with interdisciplinary care teams, patients, and caregivers.
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   Strong written and verbal skills.
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   Basic computer knowledge.
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   Ability to manage and demonstrate effective leadership skills.
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   Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
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   Ability to foster a cooperative work environment.
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   Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
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   Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order
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 Apply
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Nurse Case Manager - Registered Nurse

University of Massachusetts

<div>Overview:
<div><div><div><b>
Job Summary</b></div></div><div><div><div><div><div><div><br>
Under the general supervision of the Associate Director, Clinical Coordinator, or designee, the Nurse Reviewer II is responsible for providing administrative case management as part of the Community Case Management Program. This position is responsible for the authorization, coordination and facilitation of long term services and supports (LTSS) for program Members. As a member of a multidisciplinary team, the Nurse Reviewer II is responsible for assessing, planning, organizing, reviewing and evaluating the care needs of Members requiring community-based services. This position fosters and promotes continuity of care and cooperative partnerships by liaising with nursing providers, state agency staff, acute care hospitals and other programs/organizations involved in the provision of services.</div></div></div></div></div></div></div><br>
<div></div>
Responsibilities:
<div><div><div><b>
Major Responsibilities</b></div></div><div><div><div><div><div><div><br>
<ul><li>
Serve as the clinical manager for an assigned caseload of Members.</li></ul></div><div><br>
<ul><li>
Contribute as an active member of a multi/inter-disciplinary team to assess, plan, organize, review and evaluate the care needs of Members requiring health care services, to include outpatient and home based therapy services.</li></ul></div><div><br>
<ul><li>
Conduct on-site reviews and assessments of Member&rsquo;s community long term care needs to determine medical necessity and clinical eligibility for Community Case Management and Continuous Skilled Nursing Services Determine and authorize services for Members in accordance with program guidelines and regulations, meeting all established deadlines.</li></ul></div><div><br>
<ul><li>
Prepare and implement Member service records.</li></ul></div><div><br>
<ul><li>
Coordinate, facilitate and monitor the delivery of services to members.</li></ul></div><div><br>
<ul><li>
Review and document all relevant information into data system applications in accordance with program guidelines and regulations.</li></ul></div><div><br>
<ul><li>
Conduct routine and ad-hoc evaluations and re-evaluations of Members&rsquo; services.</li></ul></div><div><br>
<ul><li>
Contact and engage providers, state agency offices, and Members to obtain information and records needed to conduct a comprehensive clinical review of the case and final determination.</li></ul></div><div><br>
<ul><li>
Evaluate and document the appropriateness of Members&rsquo; services and make modifications, as required.</li></ul></div><div><br>
<ul><li>
Maintain individual records documenting all Member encounters and contacts; write clinical summaries.</li></ul></div><div><br>
<ul><li>
Foster and promote continuity of care and cooperative partnerships by liaising with health care providers, acute care hospitals and other programs/organizations involved in the provision of services.</li></ul></div><div><br>
<ul><li>
Prepare and respond to inquiries related to appeals on clinical determinations.</li></ul></div><div><br>
<ul><li>
Maintain positive working relationships with peers, leadership, Members, relevant informal supports, provider organizations, and state agencies.</li></ul></div><div><br>
<ul><li>
Maintain the confidentiality of all business documents and correspondence per UMass Chan Medical School/ForHealth Consulting procedures and HIPAA regulations.</li></ul></div><div><br>
<ul><li>
Participate in performance improvement initiatives and demonstrates the use of quality improvement in daily operations.</li></ul></div><div><br>
<ul><li>
Participates in training and onboarding of new clinical staff</li></ul></div><div><br>
<ul><li>
Comply with established departmental policies, procedures and objectives.</li></ul></div><div><br>
<ul><li>
Perform other duties as required.</li></ul></div></div></div></div></div></div></div><br>
<div></div>
Qualifications:
<div><div><div><b>
Required Qualifications</b></div></div><div><div><div><div><div><div><br>
<ul><li>
RN licensed to practice in Massachusetts</li></ul></div><div><br>
5-7 years of work experience with at least 3 recent years providing direct service or case management to the pediatric, young adult, or adult medically complex population<br>
<ul><li>
</li></ul></div><br>
<div><ul><li>Ability to travel statewide to Member homes and service providers places of business</li></ul></div><div><br>
<ul><li>
Experience with Office Application and database</li></ul></div><div><br>
<ul><li>
Valid Driver&rsquo;s license required</li></ul></div></div></div></div></div></div></div><div></div><div><div><div><b><br>
Preferred Qualifications</b></div></div><div><div><div><div><div><div><br>
<ul><li>
Experience with home care</li></ul></div><div><br>
<ul><li>
Knowledge of applicable state regulations</li></ul></div><div><br>
<ul><li>
Experience with prior authorization and/or eligibility determinations</li></ul></div><div><br>
<ul><li>
Experience with the care of medically complex individuals</li></ul></div></div></div></div></div></div></div><br>
<div></div>
Additional Information:
<div><div><div><b>
Supervision</b></div></div><div><div><div><div><div><b><br>
Supervision Received</b></div></div><div><div><div><div><br>
Supervision received from Clinical Coordinator</div></div></div></div></div></div></div><div></div><div><div><div><div><div><b><br>
Supervision Exercised</b></div></div><div><div><div><div><br>
None</div></div></div></div></div></div></div></div><div></div><div><div><div><b><br>
Environmental Working Conditions</b></div></div><div><div><div><div><div><div><br>
Remote/desk work with statewide travel required</div></div></div></div></div></div></div></div><div></div>

Nurse Rev II-Case Mgt

WellVisor

<p>Job Title: Case Manager</p><p>Job Summary:<br/>We are seeking a dedicated and compassionate Case Manager to join our team. The Case Manager will be responsible for coordinating and managing the care of patients in a remote setting. The ideal candidate will have strong organizational and communication skills, as well as a deep understanding of patient care.</p><p>Duties:<br/>- Conduct comprehensive assessments of patients' needs and develop individualized care plans</p><p>- Provide Utilization Management including prior authorization approvals<br/>- Collaborate with healthcare professionals to ensure the delivery of high-quality patient care<br/>- Coordinate and monitor patient progress throughout their healthcare journey<br/>- Advocate for patients' rights and ensure they receive appropriate medical treatment<br/>- Provide education and support to patients and their families regarding their medical conditions and treatment options<br/>- Assist in discharge planning and facilitate transitions of care<br/>- Maintain accurate and up-to-date documentation of patient interactions and interventions</p><p>Qualifications:<br/>- Bachelor's degree in nursing<br/>- Current license as a registered nurse (RN)<br/>- Minimum of 3-5 years of experience in case management</p><p>- Certified Case Manager preferred<br/>- Strong knowledge of medical terminology, disease processes, and treatment modalities<br/>- Excellent communication, interpersonal, and problem-solving skills<br/>- Ability to work independently and collaboratively within a multidisciplinary team<br/>- Proficient computer skills, including electronic medical record systems</p><p>Benefits:<br/>- Competitive salary based on experience<br/>- Professional development opportunities</p><p>If you are passionate about providing exceptional patient care and making a difference in people's lives, we encourage you to apply for the position of Case Manager. Please submit your resume and cover letter detailing your relevant experience and qualifications to cfran@wellvisor.com. We look forward to reviewing your application.</p><p>Job Types: Contract, Part-time</p><p>Pay: $40.00 - $50.00 per hour</p><p>Schedule:</p><ul><li>Monday to Friday</li></ul><p>Experience:</p><ul><li>Nursing: 3 years (Preferred)</li><li>Case management: 3 years (Preferred)</li></ul><p>License/Certification:</p><ul><li>RN (Required)</li></ul><p>Willingness to travel:</p><ul><li>25% (Preferred)</li></ul><p>Work Location: Remote</p>

Nurse Case Manager

Auto-Owners Insurance

<div><p>A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.</p><p></p><p><b>
Job Description</b></p><p></p><p><b>
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.
</b><br>
<br>
<b>Please note that we are not currently hiring fully remote positions. All candidates must have the ability to work in office.
</b></p><p></p><p>Auto-Owners Insurance, a top-rated insurance carrier, is seeking motivated nursing professional to join our team. The position requires the person to:</p><ul><li>
Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the claimant&rsquo;s health across the care continuum.</li><li>
Coordinate care delivery and support among claimant support systems, including providers, community-based agencies, and family.</li><li>
Collaborate with claims associates to provide medical expertise in the investigation, evaluation, and appropriate resolution of injury claims including workers&rsquo; compensation, personal injury protection (no fault), and liability.</li><li>
Evaluate medical records for relatedness to the injury and appropriate utilization of medical treatment and services.</li><li>
Prepare and deliver trainings to claims staff via a variety of modalities including written materials, live presentations, WebEx and/or telephonic presentations.</li><li>
Identify opportunities, develop, and implement new clinical programs as well as improve existing programs and procedures.</li><li>
Assist in developing and maintaining vendor and consultant expectations and relationships.</li><li>
Negotiate rates with local healthcare providers including nursing homes, sub-acute facilities, and attendant care agencies.</li><li>
Assist with other duties in the clinical team department, or elsewhere, on request.</li></ul><p>
.</p><p><b>
Desired Skills &amp; Experience</b></p><ul><li>
Active RN license in good standing required, BSN highly preferred.</li><li>
Certification in Case Management (CCM) required or to be obtained within 18 months of hire.</li><li>
Insurance Rehabilitation Specialist (CIRS), Disability Management Specialist (CDMS), Rehabilitation Nurse (CRRN), or Occupational Health Nurse (COHN) a plus.</li><li>
Minimum of three to five years clinical experience required. Strong clinical background in orthopedics, neurology, rehabilitation or trauma care is preferred. Insurance experience a plus.</li><li>
Minimum of three years experience as a case manager.</li><li>
Ability to communicate effectively in oral and written forms, read and interpret documents, and write routine reports and correspondence. Proficient computer skills including Microsoft Office products. Teaching or training experience a plus.</li><li>
Excellent problem resolution skills. This person should be able analyze details, make decisions, demonstrate innovativeness and continually seek more efficient ways to process and handle work for the benefit of the team.</li><li>
Excellent organizational skills with the ability to manage multiple priorities.</li></ul><p></p><p><b>
Benefits</b></p><p>
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!</p><p></p><ul><li><b>Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.</b></li></ul><p></p><p>
#LI-AT1 #LI-Onsite</p></div>

St. David's HealthCare

<p></p><div><h3 class="jobSectionHeader"><b>*This role is eligible for a $10,000 Sign-On Bonus!*</b></h3><p></p><p>
Introduction</p><p>
St. David's South Austin Medical Center is committed to investing in the latest technology enabling nurses to work more efficiently. <b>Are you passionate about delivering patient-centered care? </b>Submit your application for Registered Nurse Case Manager position and spend more time at the bedside with the patient.</p><h5 class="jobSectionHeader"><b>
Benefits</b></h5><p>
St. David's South Austin Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p><ul><li>
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.</li><li>
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.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing<br>
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)<br>
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock<br>
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance.<br>
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more<br>
</li><li>
Consumer discounts through Abenity and Consumer Discounts<br>
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships<br>
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships)<br>
</li><li>
Colleague recognition program<br>
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)<br>
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul><p>
Learn more about Employee Benefits</p><p><b><i>
Note: Eligibility for benefits may vary by location.</i></b></p><p><br>
You contribute to our success let us contribute to yours! Whether you choose to focus on bedside care, a leadership or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at St. David's South Austin Medical Center!</p><h5 class="jobSectionHeader"><b>
Job Summary and Qualifications</b></h5><p></p><p>
As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient&rsquo;s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care.</p>
<p><b>Your responsibilities will include:</b></p>
<p></p><ul><li>Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights</li><li>
Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences</li><li>
Developing and implementing individualized treatment plans that reflect the patient&rsquo;s strengths, needs, and personal recovery goals</li><li>
Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team</li><li>
Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care</li><li>
Promoting HCA Healthcare&rsquo;s values of compassion, respect, and excellence through every patient and family interaction</li></ul>
<p></p><h6 class="jobSectionHeader"><b>What qualifications you will need:</b></h6><br>
<p></p><ul><li>
(RN) Registered Nurse must be obtained within 60 days of employment start date</li><li>
Registered Nurse Diploma</li></ul><p></p><p>
St. David's South Austin Medical Center, which is part of St. David's HealthCare. We are a 368-bed acute care facility offering a range of complex specialties and sub-specialties. Our services include a nationally accredited oncology program with the area's only adult Transplant and Cellular Therapy Program; advanced trauma care with a Level II trauma center; comprehensive cardiac, stroke and orthopedic programs; full-service maternity and newborn care; and two full-service emergency centers in the communities of Bee Cave and Bastrop. St. David's South Austin Medical Center is affiliated with the Texas Institute for Robotic Surgery. We offer advanced robotic services for orthopedics, open heart and lung surgery, complex GI surgery, surgical oncology, general surgery, colorectal surgery, and urology. It was one of the first hospitals in Central Texas to combine the use of CT imaging and robotics to detect early stage lung cancer.</p>
<p>HCA Healthcare has been recognized as one of the World's Most Ethical Companies&reg; 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.</p><br>
<p></p>
<p>Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse Case Manager opening. <b>Apply today and a member of our Talent Acquisition team will reach out.</b></p><p><i>
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.</i></p></div>

Registered Nurse Case Manager

<p></p><div><p>As the nation&rsquo;s largest private employer of Registered Nurses, we&rsquo;re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice. That&rsquo;s why more than 80% of our hospitals earn an A or B Leapfrog safety grade, rank in the top 5% nationally for patient outcomes through Health Grades, or are recognized as Magnet or Pathway to Excellence facilities. Join us!
</p><p>It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) Registered Nurse Case Manager Observation. We want your knowledge and expertise!</p><h5 class="jobSectionHeader"><b>
Job Summary and Qualifications</b></h5><p></p><h5 class="jobSectionHeader"><p><b>
The Observation RN CM is responsible for progressing the care for Observation patient and ensures progression of care by reviewing the case promptly and applying IP IQ criteria. The Observation RN CM adheres to HCA standards regarding observation management. In addition, the Observation RN CM will be responsible for adhering to the 2 Midnight Process. The Observation RN CM works closely with the physician by monitoring the case and keeping the physician abreast of findings so appropriate and timely decisions can be made to admit or discharge the patient. When the observation CM identifies barriers that prevent progression, the Observation RN CM will directly intervene to remove the barrier. If the Observation RN CM cannot remove the barrier, the Observation RN CM will escalate the situation to the facility Director of Case Management who will advise on next steps (e.g., contact CMO, CNO, PA). The Observation RN CM is responsible for identification of observation patients with discharge planning needs that could lead to poor outcomes or a return to the hospital. If the Observation RN CM encounters such a patient, the Observation RN CM assumes responsibility for referring to the inpatient RN CM/Social Worker, who will complete a discharge planning evaluation and/or a psychosocial assessment and assume the transition of care. The Observation RN CM coordinates activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.</b></p><p><b>
Your responsibilities will include:</b></p><p></p><ul><li><b>
Provides case management services for both inpatient and observation patients as assigned.</b></li><li><b>
Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.</b></li><li><b>
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.</b></li><li><b>
Reassesses the patient&rsquo;s clinical condition as indicated. Considers patient&rsquo;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.</b></li><li><b>
Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and with the patient's physician to facilitate a successful care transition.</b></li><li><b>
Partners with Social Services to ensure the post-acute medical needs and level of care are appropriate.</b></li><li><b>
Assumes responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified.</b></li><li><b>
Involves patient and family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals.</b></li><li><b>
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.</b></li><li><b>
Makes appropriate referrals to third party payer and disease and case management programs for recurring patients and patients with chronic disease states.</b></li><li><b>
Facilitates patient throughput with an ongoing focus on an effective care transition, quality, and efficiency.</b></li><li><b>
Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team.</b></li><li><b>
Aligns patient needs with available resources to ensure a safe discharge/transition.</b></li><li><b>
Acts as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies.</b></li><li><b>
Seeks ways to control costs without compromising patient safety, quality of care, or the services delivered.</b></li><li><b>
Directs activities to identify and provide for the needs of the under-resourced patient population, including patient education activities, patient assistance programs, and community-based resources,</b></li><li><b>
Participates in performance improvement activities, including identifying, documenting, and intervening when avoidable days occur.</b></li><li><b>
Adheres to established policy and procedure and standards of care; escalates issues promptly through the established chain of command.</b></li><li><b>
Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives. Serves as an advocate for patient's rights, needs, and values; ensures that patients&rsquo; ethnic, cultural, or religious values, beliefs, preferences, and needs are considered and aligned.</b></li><li><b>
Performs other duties as assigned.</b></li><li><b>
Practices and adheres to the &ldquo;Code of Conduct&rdquo; and &ldquo;Mission and Value Statement.&rdquo;</b></li></ul></h5><p></p><h6 class="jobSectionHeader"><b>
What qualifications you will need:</b></h6><p></p><h5 class="jobSectionHeader"><p><b>
Education &amp; Experience:</b></p><p></p><ul><li><b>
Associate Degree in Nursing or Nursing Diploma Required</b></li><li><b>
Bachelor&rsquo;s Degree in Nursing Preferred</b></li><li><b>
2+ years experience in case management OR 3+ years experience in clinical nursing Required</b></li><li><b>
InterQual experience Preferred Or equivalent combination of education and/or experience</b></li></ul><p><b>
Licensure, Certifications, Training: Credential*:</b></p><p></p><ul><li><b>
Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation Required</b></li><li><b>
Certification in Case Management Preferred</b></li></ul><b>
Benefits</b></h5><p>
St. David's Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p><ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
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</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
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</li></ul><p>
Learn more about Employee Benefits</p><p><i>
Note: Eligibility for benefits may vary by location.</i></p><p>
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder</p>
<p></p><p><b>St. David&rsquo;s HealthCare</b>, which is oneof the largest healthcare systems in Texas and the third-largest employer in the Austin area. St.David&rsquo;s HealthCare was formed through a unique partnership between HCA Healthcare and twolocal non-profits &mdash; St. David&rsquo;s Foundation and Georgetown Health Foundation.</p><p>
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for thedelivery of charitable care, uninsured discounts, and other uncompensated expenses.</p><p></p><p>
Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Registered Nurse Case Manager Observation opening. Submit your application today and help advance the practice of nursing.</p><p><i>
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.</i></p></div>

Registered Nurse Case Manager Observation

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