Registered Nurse Case Manager New
Houston, TX
Details
Hiring Company
HCA Houston Healthcare
Position Description
Description
Introduction
Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At The Woman's Hospital of Texas our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family.
Benefits
The Woman's Hospital of Texas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Note: Eligibility for benefits may vary by location.
At The Woman's Hospital of Texas, our nurses play a vital part. We know that every nurse’s path and purpose is unique. Do you want to create your own personal career path in nursing? HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life – for life – and empowers their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity.
Job Summary And Qualifications
Under the direction of the Case Management Manager and the Director of QRM, reviews admissions and extended stays of all PPS, non-PPS, managed care, self-pay and other third-party payers in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved by the medical staff.
What you will do in this role:
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.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
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.
Introduction
Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At The Woman's Hospital of Texas our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family.
Benefits
The Woman's Hospital of Texas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Note: Eligibility for benefits may vary by location.
At The Woman's Hospital of Texas, our nurses play a vital part. We know that every nurse’s path and purpose is unique. Do you want to create your own personal career path in nursing? HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life – for life – and empowers their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity.
Job Summary And Qualifications
Under the direction of the Case Management Manager and the Director of QRM, reviews admissions and extended stays of all PPS, non-PPS, managed care, self-pay and other third-party payers in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved by the medical staff.
What you will do in this role:
- In collaboration with the Director of Quality and Resource Management, maintains a data collection system for monitoring admissions and assigning extended stays in accordance with criteria approved by the Utilization Management Committee and Medical Staff with referral of all cases in question to the Utilization Management Physician Advisor.
- Communicates with third party payers regarding extended stays for approval.
- Coordinates Discharge Planning meetings with nursing and ancillary staff on individual nursing units to promote ongoing review of patient care activities related to provision of services, patterns of care, and utilization of resources.
- Assists in Utilization Management Committee activities by providing data for reports, medical care evaluation studies, and maintenance of records as deemed appropriate.
- Maintains liaison with Social Worker and other individuals/groups responsible for discharge planning to facilitate continuity of care which may include initiating and/or coordinating discharge planning.
- Recognizes the purpose of employment is to prioritize the patient as number one.
- Fulfills the duty and responsibility to maintain competence and to continue personal and professional growth.
- Identifies and assists with opportunities for performance improvement activities on the unit and with other service areas.
- Demonstrates fiscal responsibility by taking ownership of time management, decreasing waste (of time and supplies) and promoting cost effectiveness while maintaining patient safety and quality of care.
- Demonstrates the ability to be an advocate for and strive to protect the health, safety and rights of the patient.
- Interactions with patients and colleagues demonstrate compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status or cultural beliefs.
- Communicate effectively with other care providers (physicians, nurses, and satellite staff) to provide for continuity of patient care and to meet the needs of the customers we serve.
- Demonstrates ability to fulfill requirements of attendance, punctuality, and timekeeping practices.
- Behaviors and interactions demonstrate a positive attitude, personal initiative and motivation to achieve the goals of the unit.
- To uphold the standards of the profession and organization and practice ethically and with integrity.
- Associates or BSN
- Current licensure in Texas as a Registered Nurse
- 1 year of acute care experience required, case management experience preferred
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.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
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.
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