RN Case Manager

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Factors that may be used to determine your actual salary may include your
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employees already in this role. The typical candidate is hired below midpoint
of the range.

RN Case Manager

Full Time / Requires Weekdays and Weekends
Are you looking for a place to deliver excellent care patients deserve? At HCA
HealthONE Presbyterian St. Luke’s we support our colleagues in their
positions. Join our Team as a(an) RN Case Manager and access programs to
assist with every stage of your career.

Benefits

HCA HealthONE Presbyterian St. Luke’s, 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._
Are you a continuous learner? With more than 94,000 nurses throughout HCA
Healthcare, we are one of the largest employers of nurses in the United
States. Education is key to excellence! As a majority owner of Galen College
of Nursing, which joins Research College of Nursing and Mercy School of
Nursing as educational facilities within the HCA Healthcare family, we make it
easier and more affordable to gain certifications and job skills. Apply today
for our RN Case Manager opening and continue to learn!

Job Summary and Qualifications

The Registered Nurse (RN) CM is responsible for promoting patient-centered
care by 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. The RN CM facilitates the progression and transition of care using
established criteria and in conjunction with the multidisciplinary team. The
RN CM will coordinate activities that promote quality outcomes and patient
throughput while supporting a balance of optimal care and appropriate resource
utilization.

What you will do

• Provides case management services for both inpatient and observation patients as assigned.
• Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
• 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.
• Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient’s physician to facilitate a successful care transition.
• Partners with Social Services to ensure the post-acute medical needs and level of care are appropriate.
• Assumes responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified.
• Involves patient and 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 and 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 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.
• Actively seeks ways to control costs without compromising patient safety, quality of care, or the services delivered.
• 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,
• Participates in performance improvement activities including, but not limited to, identifying, documenting, and intervening when avoidable days occur.
• Adheres to established policy and procedure and standards of care; escalates issues promptly through the established chain of command.
• Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.
• Serves as an advocate for patient’s rights, needs, and values; ensures that patients’ ethnic, cultural, or religious values, beliefs, preferences, and needs are considered and aligned.
• Performs other duties as assigned.
• Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.”

# What qualifications you will need:

* Currently licensed as a Registered Nurse in the state of practice according to law and regulation — Required

• Certification in Case Management — Preferred
• Associate Degree in Nursing or Nursing Diploma – Required
• Bachelor’s Degree in Nursing – Preferred
• Two (2) + years of experience in case management __or__ three (3) + years of experience in clinical nursing – Required
• InterQual experience – Preferred

_Or equivalent combination of education and/or experience_
HCA HealthONE, one of the largest and most comprehensive healthcare systems in
the Rocky Mountain region, offers more than 170 care sites in the Denver metro
area. Offering services across the continuum of care to meet patients’ total
healthcare needs, HCA HealthONE includes seven acute care hospitals, a
dedicated flagship pediatric hospital, a rehabilitation hospital, CareNow®
urgent care clinics, mental health campuses, imaging and surgery centers,
physician practices, home and hospice care, and AirLife Denver, which provides
regional critical care air and ground transportation. Among HCA HealthONE’s
acute care hospitals is Presbyterian/St. Luke’s (P/SL). P/SL has been meeting
the healthcare needs of patients and their families from across the Rocky
Mountain region for more than 140 years. Included on the P/SL campus is Rocky
Mountain Children’s, a dedicated pediatric hospital, making the campus the
only tertiary/quaternary combined pediatric and adult hospital in this region.
P/SL is home to an award-winning cancer program including the Colorado Blood
Cancer Institute, a solid organ transplant program, and complex orthopedics.
Consistently among the Denver Business Journals’ list of top corporate
philanthropists in the Denver-metro area, HCA HealthONE was named as one of
the most community-minded organizations by The Civic 50 and contributed more
than $1 million through cash and in-kind donations last year alone, along with
more than $400M in federal, state and local taxes.
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 costs for the delivery of
charitable care, uninsured discounts, and other uncompensated expenses.
> “Good people beget good people.”- Dr. Thomas Frist, Sr.
> HCA Healthcare Co-Founder
If growth and continued learning is important to you, we encourage you to
apply for our RN Case Manager opening. Our team will promptly review your
application. Highly qualified candidates will be contacted for interviews.
Unlock the possibilities apply today!
We are an equal opportunity employer and value diversity at our company. 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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