RN Case Manager

Job Description

Job Description

Join Our Team as an RN Case Manager!

Are you looking to be part of an organization that prioritizes your growth as an RN Case Manager? At our facility, your well-being is our top priority. We are committed to investing up to $300 million in initiatives aimed at supporting our exceptional team members over the next three years.

Position Overview and Qualifications

The RN Case Manager plays a crucial role in fostering patient-centered care by overseeing the care plan throughout the patient's stay. This includes managing the duration of the stay, ensuring effective resource management, and collaborating with a multidisciplinary team to create a safe and suitable discharge plan.

Key Responsibilities:

• Deliver case management services for both inpatient and observation patients as assigned.
• Identify patients at risk for negative outcomes during transitions between different levels of care.
• Conduct thorough assessments of the psychosocial, medical, and discharge needs of patients and their families, along with evaluating available resources.
• Reassess the clinical condition of patients as necessary, considering readmission risks and developing strategies to prevent them, including education on healthcare resources and community services.
• Coordinate care plans and drive discharge processes by collaborating closely with the healthcare team, especially the patient's physician, to ensure smooth transitions.
• Work with Social Services to confirm that post-acute medical needs and care levels are appropriate.
• Take responsibility for timely referrals to Social Services when psychosocial health risk factors are identified.
• Engage patients and their families in identifying needs and expectations to set mutual and realistic goals.
• Evaluate care progression using evidence-based tools and approved criteria throughout the care episode, escalating issues as needed.
• Make appropriate referrals to third-party payers and disease management programs for patients with chronic conditions or frequent admissions.
• Facilitate patient throughput while maintaining a focus on effective transitions, quality, and efficiency.
• Document professional recommendations, discharge plans, care coordination efforts, and case management activities to ensure clear communication with the healthcare team.
• Align patient needs with available resources to guarantee a safe discharge and transition.
• Adhere to the organization’s “Code of Conduct” and “Mission and Value Statement.”

Qualifications:

• Current RN License (required).
• Associate Degree in Nursing or Nursing Diploma (required).
• Bachelor’s Degree in Nursing (preferred).
• Minimum of 2 years of experience in case management or 3 years in clinical nursing (required).
• Experience with InterQual criteria (preferred).

Benefits and Opportunities:

Our organization offers a comprehensive rewards package designed to support the health, life, career, and retirement of our team members. The benefits include:

• Extensive health benefits covering medical, prescription drugs, dental, vision, behavioral health, and telemedicine services.
• Wellness support featuring free counseling and referral services.
• Time-off programs that include paid time off, family leave, and both short- and long-term disability coverage.
• Retirement resources such as a 401(k) plan with a 100% match on 3% to 9% of pay, employee stock purchase options, and financial wellness counseling.
• Educational support through tuition assistance, student loan help, certification support, and scholarships for dependents.
• Additional benefits for family planning, adoption assistance, life insurance, and various consumer discounts.

Discover more about our Employee Benefits.

Note: Eligibility for benefits may vary by location.

Our facility is a 250+ bed institution, recognized as Tennessee's first comprehensive stroke center and a leader in neuroscience. We are equipped with three helipads, new ICU and Medical/Surgical floors, and specialized burn care services. Additionally, we offer a CARF-accredited Inpatient Rehabilitation program and are an ACS verified Level II Trauma Center. As an Accredited Chest Pain Center with PCI capabilities, we are a leading provider of emergency heart care.

"Good people beget good people." - Dr. Thomas Frist, Sr., Co-Founder

We are a family of 270,000 dedicated professionals! Our Talent Acquisition team is currently reviewing applications for the RN Case Manager position. Qualified candidates will be contacted for interviews. Submit your resume today to become part of our caring community!

We are an equal opportunity employer and do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.