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RN Case Manager

Medical City Arlington

Medical City Arlington Full Time Day shift, 8:00am - 4:30pm Monday - Friday with some weekends. As a RN Case Manager, 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. Responsibilities Perform 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. Reassess the patient’s clinical condition as indicated. Consider patient’s readmission status or risk of readmission and develop strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources. Coordinate the plan of care and drive 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, ensure the post-acute medical needs and level of care are appropriate. Make timely referrals to Social Services when risk factors for psychosocial determinants of health are identified. Involve patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals. Evaluate progression of care using evidence‑based tools and approved criteria (InterQual) throughout the episode of care; raise issues through the established chain of command. Make appropriate referrals to third‑party payers, disease and case‑management programs for recurring patients and patients with chronic disease states. Facilitate patient throughput with an ongoing focus on an effective care transition, quality and efficiency. Document 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. Act as a liaison through effective and professional communications between physicians, patients/family, hospital staff, and outside agencies. Direct 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. Demonstrate knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives. Serve as an advocate for patients’ rights, needs, and values; ensure that patients’ ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned. Qualifications Registered Nurse with current Texas 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. Well‑being 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 well‑being 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. Equal Opportunity Employer 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. #J-18808-Ljbffr

Vacancy posted 22 hours ago
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