RN Case Manager

As the nation’s largest private employer of Registered Nurses, we’re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice. That’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! Job Summary And Qualifications 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 Plano, 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 "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. Medical City Plano opened in 1975 and provides Plano and Collin County with advanced health care. Medical City Plano is a 600+ bed acute care hospital. We have more than 2,000 employees and over 1,400 physicians on staff. Our main campus in Plano has a cancer treatment center and cardiovascular programs. We have The Bariatric Surgery Institute, a Wound Care Center and inpatient rehabilitation. We also offer complete women's and children's services. This includes a high-risk antepartum unit and a Level 3 neonatal intensive-care unit. We were the first hospital in Dallas, Collin or Denton counties to be named a Comprehensive Stroke Center by the Texas Department of State Health Services. Medical City Plano was the first Level I Trauma Center in Collin County and The Burn & Reconstructive Center of Texas was the first burn center in Collin County. As a part of the Medical City network of hospitals and specialists, patients are ensured access to leading medical experts and advanced healthcare innovations. 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