RN Case Manager
Medical City Las Colinas · Wylie, TX · 2 mo ago
HealthcareFull-time
About the role
The RN Case Manager at Medical City Dallas plays a pivotal role in patient care, coordinating the plan of care, managing the length of stay, and facilitating a successful care transition. They collaborate with the multidisciplinary health care team and the patient's physician to ensure 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
- Develops strategies to mitigate patient readmission risks
- Coordinates the plan of care and discharge plan
- Ensures appropriate post-acute medical needs and level of care
- Timely referral to Social Services for psychosocial determinants of health
- Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations
- Evaluates progression of care using evidence-based tools and approved criteria
- Makes appropriate referrals to third-party payer, disease and case management programs
- Facilitates patient throughput with an ongoing focus on an effective care transition
- Documents professional recommendations, discharge plan, care coordination interventions, and case management activities
- Aligns patient’s needs with available resources to ensure a safe discharge
- Acts as a liaison between various stakeholders
- Directs activities to identify and provide for the needs of the under-resourced patient population
Requirements
- Registered Nurse with current TX state license
- Associate Degree in Nursing or Nursing diploma
- 3+ years of clinical hospital nursing experience OR 2+ years experience in case management
- Certification in case management preferred
- InterQual experience preferred
Qualifications
- Bachelor's Degree in Nursing preferred
- Knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
- Ability to advocate for patient's rights, needs, and values
Benefits
Medical City Dallas offers a comprehensive benefits package including medical, prescription drug, dental, vision, behavioral health, and telemedicine services. Other benefits include well-being support, time away from work programs, savings and retirement resources, education support, and additional perks like fertility assistance and family building support.