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Case Manager PRN


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Location: El Paso TX

Company Name: HCA Healthcare

Occupational Category: 21-1093.00,Social and Human Service Assistants

Date Posted: 2020-02-10

Valid Through: 2020-03-11

Employment Type: FULL_TIME

Description:

Description SHIFT: PRN

SCHEDULE: PRN/Per Diem

About Las Palmas
Medical Center

Las Palmas Medical Center offers
comprehensive services and special expertise in Emergency Room Medicine (Level
III Trauma), Cardiology, Women’s Services, Labor & Delivery, Neonatal
Intensive Care, Neuroscience, Pediatric care, and Wound Care Management. Las
Palmas Medical Center is also the only Kidney Transplant Center in the Region.
Las Palmas Rehabilitation Hospital is a separate facility with newly renovated
patient rooms, exercise equipment and cafeteria. The physicians, nurses and
staff at our 325-bed facility are committed to caring for our community with
compassionate, quality healthcare.

Benefits

We offer an excellent total
compensation package, for various positions including competitive salary,
excellent benefit package and growth opportunities. We believe in our team and
your ability to do excellent work with us. Your benefits include 401k, PTO
medical, dental, flex spending, life disability, tuition reimbursement,
employee discount program, Student Loan Assistance Program, employee stock
purchase program. We would love to talk to you about this fantastic
opportunity.

Position Summary

The 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 optimal care and appropriate resource utilization.

Skills
• Ability to establish and
maintain collaborative and effective working relationships
• Ability to communicate
effectively in oral, written and electronic formats
• Demonstrates analytical and
critical thinking abilities with proactive decision-making and negotiation
skills

Performance Expectations
• 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
• 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
• Actively seeks ways to control costs without
compromising patient safety, quality of care or the services delivered
• 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
• Participates in performance improvement activities
including, but not limited to, identifying, documenting and intervening
when avoidable days occur
• Adheres to established policy and procedure and
standards of care; escalates issues through the established chain of
command timely
• 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

Qualifications

Qualifications
• RN with current state licensure; BSN preferred
• Three years’ clinical, hospital nursing experience required with preference given to those with 2 years of case management experience or 2 years of critical care experience
• Certification in case management or utilization review preferred
• InterQual experience preferred

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

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