RN Case Manager
Company: HCA Florida Capital Hospital
Location: Tallahassee
Posted on: April 6, 2025
Job Description:
Description
Introduction Do you currently have an opportunity to make a real
impact with your work? With over 2,000 sites of care and serving
over 31.2 million patient interactions every year, nurses at HCA
Florida Capital Hospital have the opportunity to make a real
impact. As a(an) RN Case Manager you can be a part of change.
Benefits HCA Florida Capital Hospital, 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.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
It is an exciting time to be a nurse at HCA Healthcare! Come unlock
your career potential and see how rewarding it can be to reach your
personal and professional goals. Help to advance the practice of
nursing and improve positive outcomes for your patients as a (an)
RN Case Manager. We want your knowledge and expertise!
Job Summary and Qualifications
The RN CM Care Coordinator will facilitate the interdisciplinary
plan of care with a focus on evaluating the appropriateness of
clinical care, medical necessity, admission status, level of care,
and resource management. The RN CM Care Coordinator will coordinate
activities that promote quality outcomes and patient throughput
while supporting a balance of optimal care and appropriate resource
utilization. The RN CM Care Coordinator will identify potential
barriers to patient throughput and quality outcomes and will
facilitate appropriate discharge plans.
What you will do in this role:
- Performs a comprehensive assessment of psychosocial and medical
needs of assigned patients
- Develops a case management plan of care to include identified
clinical, psychosocial and discharge needs; coordinates plan of
care; plan is documented in the medical record; plan is
communicated to appropriate clinical disciplines
- Assumes a leadership role with the interdisciplinary team to
manage care, through criteria driven processes, for the appropriate
level of care, patient status and resource utilization
- Conducts interdisciplinary team meetings to provide a mechanism
for all clinical disciplines to collaborate, plan, implement, and
assess the plan of car; patient selection should be criteria based
and interventions will be documented
- Evaluates admissions for medical necessity using approved
criteria at defined intervals throughout the episode of care;
escalates medical necessity and admission status issues through the
established chain of command
- Evaluates and assess observation patients for appropriateness
in observation status
- Performs utilization management reviews and communicates
information to third party payors
- Acts as a liaison through effective and professional
communications between and with physicians, patient / family,
hospital staff, and outside agencies
- Demonstrates knowledge of regulatory requirements, HCA Ethics
and Compliance policies, and quality initiatives; monitors
self-compliance and implements process changes to ensure compliance
to such regulations and quality initiatives as it relates to the
provision of Case Management Services
- Makes appropriate referrals to third party payer disease and
case management programs for recurring patients and patients with
chronic disease states
- Documents professional recommendations, care coordination
interventions, and case management activities to effectively
communicate to all members of the health care team
- Facilitates patient throughput with an ongoing focus on quality
and efficiency Tracks and trends barriers to care; makes
recommendations and develops action plans to improve processes and
systems
- Involves patient, family/responsible/significant others in
identifying and clarifying needs and expectations to develop mutual
and realistic goals
- Assesses patients' post discharge needs and facilitates the
provision of services necessary to meet identified needs
- Actively seeks ways to control costs without compromising
patient safety, quality of care or the services delivered
- Identifies patients with the potential for high risk
complications and makes appropriate referrals acting as an advocate
for the individual's healthcare needs
- 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
- Develops individual plans of care for recurring patients to
include education on appropriately accessing healthcare resources,
preventative education, and community based resources
- Assumes a leadership role in the development, revision, and
implementation of clinical protocols which transition patients
across the continuum of care or discharge patients to an
appropriate service level of care
- Tracks and trends variances to care and barriers to care; makes
recommendations and develops action plans to improve processes and
systems
- Adheres to established policy and procedure and standards of
care; escalates issues through the established Chain of Command
timely
- Actively seeks ways to control costs without compromising
patient safety, quality of care or the services delivered.
- Demonstrates knowledge of the occurrence reporting system. Uses
system to report potential patient safety issues.
- Follows established guidelines for reporting a significant
medical error or unanticipated outcome in the patient's care which
results in patient harm.
- Attends in-service presentations and completes all mandatory
education requirements.
- Uses Performance Improvement Plan to improve patient safety.
What qualifications you will need:
- Associates Degree in Nursing or Diploma in Nursing
required
- Bachelor's Degree in Nursing preferred
- Florida RN license and/or approved multistate RN license
required. Compact license holders have 60 days to obtain the
Florida license after relocation.
- BLS-AHA Provider issued card required within 30 days of
start
- Certification in Case Management, Nursing, or Utilization
Review, preferred
- Three years of nursing experience in acute care setting is
required
- Case Management experience preferred
HCA Florida Capital Hospital is your one-stop solution for all your
healthcare needs. We are an accredited healthcare facility with
over 1,400 skilled employees and 500+ experienced providers. Our
288-bed, acute-care hospital provides 24/7 Emergency Services in
Leon and Gadsden Counties. Our facilities include a
state-of-the-art Behavioral Health Center, Cancer Center, Chest
Pain Center w/PCI-Resuscitation, Family Center, Heart & Vascular
Center, Imaging Services, Neonatal Intensive Care Unit,
Orthopedic/Spine Center, Physical Therapy Services, Rehabilitation
Center, Stroke Center, Surgical Services, Surgical Weight Loss
Center, Network-of-Care Affiliated Physician Practices, and much
more. Trust us to give you compassionate care and exceptional
service.
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.
"There is so much good to do in the world and so many different
ways to do it." - Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder Be a part of an organization that
leverages our size to make a real impact in our industry! Our
Talent Acquisition team is reviewing applications for our RN Case
Manager opening. Submit your application today and help advance the
practice of nursing.
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.
Keywords: HCA Florida Capital Hospital, Tallahassee , RN Case Manager, Healthcare , Tallahassee, Florida
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