RN Case Manager in Nashville, TN

Case Manager Nurse

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Case Manager Nurse 

Job Summary and Qualifications

Case Manager Nurse 

The Registered Nurse (RN) CM 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 CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optima l care and appropriate resource utilization.

What you will do in this role

• Provides case management services for both inpatient and observation patients as assigned. 

• Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another. 

• 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. 

• Partners with Social Services to ensure the post-acute medical needs and level of care are appropriate. 

• Assumes responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified. 

• Involves patient and 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 and 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. 

• Aligns patient needs with available resources to ensure a safe discharge/transition. 

• Practices and adheres to the “Code of Conduct” and “Mission and Value Statement” 

 What qualifications you will need: 

• RN License (required)

• Associate Degree in Nursing or Nursing Diploma (required)

• Bachelor’s Degree in Nursing (preferred)

• 2+ years’ experience in case management OR 3+ years’ experience in clinical nursing (required)

• InterQual experience (preferred) 

Benefits

TriStar Centennial Medical Center, 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

Note: Eligibility for benefits may vary by location.

TriStar Centennial Medical Center is a 740+ bed comprehensive facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also include heart and vascular and imaging. These also include neurosciences, oncology, orthopedics, pediatrics, rehabilitation, sleep disorder, and women's services. We are an affiliate of TriStar Health. TriStar Centennial Medical Center is a 43-acre campus. We are home to TriStar Centennial Heart & Vascular Center. We are home to TriStar Centennial Women's Hospital. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.

HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). In 2019, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Case Manager Nurse opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

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.