Registered Nurse Case Manager

Ready for a role that supports your unique calling in patient care and fits your life? At Las Palmas Medical Center , you'll find clear path ways to advance backed by our unmatched nationwide transfer policy that lets you grow your career when the time is right for you. With mentorship opportunities, clinical education courses, professional certification support, and educational assistance , you wi ll have all the resources you need to build the career of a lifetime. Job Summary and Qualifications Provides overall coordination in the delivery of medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including governmental and non-governmental payers and quality assurance agencies. Promotes a cooperative and supportive relationship as liaison with patient, family, facility staff, physicians, funding representatives and community agencies. Ensures continuity in the handoff of patient clinical information from the hospital to other involved healthcare entities. The duties of the acute care Case Manager may be performed as in the integrated or triad model. Your responsibilities will include: Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences Developing and implementing individualized treatment plans that reflect the patient's strengths, needs, and personal recovery goals Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and family interaction What qualifications you will need: REQUIRED LICENSURE/CERTIFICATIONS: RN licensure in the state of TX or Compact State. REQUIRED EDUCATION/EXPERIENCE: Associates Degree or BSN PREFERRED EDUCATION, LICENSURE, CERTIFICATION, EXPERIENCE, SKILLS, KNOWLEDGE AND ABILITIES: Prefer three-five years clinical experience within an acute health care setting with recent work history in acute care case management role or related health care experience. Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality assurance, use of InterQual or other clinical decision support criteria, discharge planning, and reimbursement structures (i.e. Government and non-governmental payers). Ability to read, analyze and comprehend complex clinical and financial data and its application to level of care criteria and discharge options; strong, broad-based clinical knowledge and understanding of pathology/physiology of disease processes; excellent critical thinking skills; assertive personality traits to facilitate ongoing physician communication; organize, prioritize and manage time efficiently. Computer literacy and familiarity with the operation of basic office equipment. Must be able to communicate effectively with a wide range of hospital personnel, physicians, patients/family members within various socioeconomic groups and representatives of varied outside agencies. Ability to communicate effectively with and know the age-specific needs of patients of adolescent, adult and geriatric age. Demonstrate an understanding of HCA's "Patients First" safety initiative through strict compliance to all safety protocols and procedures. Recognizes that variables such as age, race, nationality, culture, disease-causing vulnerabilities, and socio-economic factors affect the patient populations under their care. Uses interventions appropriate to these factors (e.g. interpreter, dietary preferences, social service consult, etc) Benefits Las Palmas 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. Las Palmas Medical Center is a 300+ bed full-service hospital in El Paso. It is home to the region's only kidney transplant center . The facility offers a range of services including emergency care with a Level III trauma center , cardiac care, women's services, pediatric care and NICU, cancer care, and more. Las Palmas Medical Center is part of Las Palmas Del Sol Healthcare. We are a leading healthcare provider for El Paso and the surrounding region that is part of HCA Healthcare. HCA Healthcare has been recognized as one of the World's Most Ethical Companies 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. "Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing's future." Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC Senior Vice President and Chief Nurse Executive HCA Healthcaret Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse Case Manager opening. Apply today and a member of our Talent Acquisition team will reach out. 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. Apply share Share Email X Facebook LinkedIn bookmark_border Save Job bookmark Unsave Job // Save Jobs functionality detectsavedjob('1-INFOR-4679875','save-job','unsave-job');