RN Case Manager

About the role

The RN Case Manager at Medical City Dallas plays a pivotal role in patient care, 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.

Responsibilities

• 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
• Collaborates 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, ensures the post-acute medical needs and level of care are appropriate
• 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
• Aligns 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

Requirements

• 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

Qualifications

• Knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
• Advocates for patient's rights, needs, and values; ensures that patients' ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned

Skills

• Effective communication skills
• Collaborative problem-solving abilities
• Strong organizational and time management skills
• Ability to work independently and as part of a team

Benefits

Medical City Dallas offers a comprehensive benefits package that includes:

• 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

Pay

Details about pay are not specified in the job posting.

Schedule

This position is full-time with a day shift schedule from 8:00am - 4:30pm Monday - Friday with some weekends.