RN Case Manager

About the role

The RN Case Manager at Medical City Dallas plays a pivotal role in patient care, influencing decisions that enhance both patient outcomes and the future of nursing. They are responsible for coordinating the plan of care, managing the length of stay, ensuring appropriate resource management, and developing a safe and appropriate discharge plan.

Responsibilities

• Performs a comprehensive assessment of psychosocial, medical, and discharge needs of patients/family
• Reassesses the patient’s clinical condition as needed, considering readmission status or risk of readmission and developing mitigation strategies
• Coordinates the plan of care and discharge plan by collaborating with the multidisciplinary health care team, particularly with the patient's physician
• In partnership with Social Services, ensures post-acute medical needs and level of care are appropriate
• Timely referral to Social Services when psychosocial determinants of health risks 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 issues through the established chain of command
• Makes appropriate referrals to third-party payer, disease and case management programs for recurring patients and those with chronic disease states
• Facilitates patient throughput with a focus on an effective care transition, quality, and efficiency
• Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate with 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, including patient education activities, patient assistance programs, and community-based resources
• Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
• Serves 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

• 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

Benefits

Medical City Dallas offers a comprehensive benefits package that includes:

• Comprehensive medical, prescription drug, dental, vision, and behavioral health services
• Wellness support, including free counseling and referral services
• 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 on pay are not specified in the job posting.

Schedule

The position is full-time, day shift, 8:00am - 4:30pm Monday - Friday with some weekends.