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Case Manager Registered Nurse

Company: TriStar StoneCrest Medical Center
Location: Smyrna
Posted on: May 19, 2019

Job Description:

Description

SHIFT: PRN

SCHEDULE: PRN/Per Diem

StoneCrest Medical Center- Smyrna, TN

Case Manager Registered Nurse

PRN

Member of the TriStar Division of HCA

Our Mission- Above all else, we're committed to the care and improvement of human life.

For us, it's all about people. Here at HCA, you will find that caring extends to our patients, employees, and the communities we serve. It is demonstrated by industry leading patient satisfaction scores, defined pathways for your personal and professional growth, and the impact of the over 30,000 volunteer hours we provide annually. Our dedication has led to awards of recognition including being named a World's Most Admired Company by Fortune Magazine. Are you looking for an employer with many different career options and a people-focused culture? You've come to the right place. HCA at a glance

A few of the benefits we provide you:

* Industry Leading Clinical Training and Professional Academy- Emerging Leaders
* Tuition Reimbursement and Student Loan Forgiveness Programs
* 401k (3%-9% match based on tenure)
* Employee Stock Purchase Plan
* Full Medical, Dental, and Vision insurance
* New Extended Family Leave
* Healthcare and Dependent Care Flexible Spending Accounts
* Hundreds of consumer discounts
* Financial Fitness Program with a Certified Financial Planner

About this Facility:

TriStar StoneCrest proudly serves Rutherford County Tennessee and surrounding communities. Our 109-bed hospital offers complete medical care for adults and children, including emergency, surgical, maternity, imaging, cardiology, neurology, orthopaedic, physical medicine, sleep medicine and oncology services. Our medical staff of about 500 physicians includes more than 45 specialties. Many of our physicians have offices on or near the hospital campus. Our entire staff is committed to providing quality and safe patient care while offering compassion and comfort in our modern facility.

About this opportunity:

The Case Manager 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 Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. The Case Manager will identify potential barriers to patient throughput and quality outcomes. The Case Manager will facilitate appropriate discharge plans.

GENERAL RESPONSIBILITIES:

* 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
* 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
* Tracks and trends barriers to care; makes recommendations and develops action plans to improve processes and systems
* 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
* 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

EDUCATION/EXPERIENCE:

POSITION QUALIFICATIONS:

* RN with current state licensure, BSN preferred
* American Heart BLS Basic Life Support
* Three years nursing experience in acute care setting, Case Management experience preferred
* Certification in Case Management, Nursing, or Utilization Review, preferred
* Ability to establish and maintain collaborative and effective working relationships
* Ability to communicate effectively in oral, written and electronic formats
* Demonstrates analytical and critical thinking abilities with pro-active decision-making and negotiation skills
* Demonstrates an ability to perform specific competencies as identified on the Case Management Competency Grid

You are encouraged to apply today as interviews are being set immediately!

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.

Keywords: TriStar StoneCrest Medical Center, Smyrna , Case Manager Registered Nurse, Executive , Smyrna, Tennessee

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