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RN / Case Management / Texas / Permanent / Registered Nurse Case Manager Coordinator Job

Company: HCA.
Location: San Antonio
Posted on: March 28, 2020

Job Description:

Description SHIFT: Days (rotating weekends)

SCHEDULE: Full-time

Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career in our Case Management department. Submit your application today!
Benefits: We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity. Seeking a Case Manager Coordinator for the Emergency Department to join our team who will be responsible for facilitating effective & appropriate health services throughout the continuum of care. Collaborative and systematic processes are used to assess patient needs, plan services and collect data. Additionally, this position assists in the coordination, implementation, monitoring and evaluation of options and services to meet the individuals healthcare needs. Communication with physicians, payers and others to promote fiscal responsibility and effective use of available resources to decrease fragmentation of care across all settings. What you will do in this role:

  • Assess by interview and chart review discharge needs of all high risk patients and other referred patients. Identify resources available to address needs, offer and document choices, coordinate referrals and document plan to include the final discharge disposition.
  • Perform admission and continued stay reviews as per CM plan. Provide clinical information to payers for certification and reimbursement of care. Discuss alternate level of care with physicians. Refer cases not meeting acute criteria to Physician Advisor, as needed.
  • Facilitates and/or provides education of hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization. Acts as a resource for staff and other departments.
  • Keeps current on JC standards, CMS (Conditions of Participation, Core Measure, etc.). Review criteria and other rules that govern the provision of care, planning and documenting.
  • Tracks resource or other information used to identify improvement opportunities. Attends medical staff, hospital committee meetings and/or discusses findings with appropriate staff.
  • Conducts special projects to reduce patients length of stay such as tracking avoidable days in relationship to high risk DRGs (Heart Failure, COPD and Sepsis).
    Qualifications Education:
    • Graduate of an accredited Baccalaureate Degree Nursing Program Experience:
      • 5 years RN experience in acute care case management, including knowledge of: Diagnosis Related Group (DRGs) and ability to assess clinical data to determine a working DRG; appropriate intervention strategies to reduce length of stay and manage utilization; and reimbursement mechanisms and managed care issues that impact medical necessity and discharge planning. License and Certification:
        • Current Texas licensure as a RegisteredBe a part of an organization that invests in you. We are actively reviewing applications. Qualified candidates will be promptly contacted by our hiring managers for interviews. Submit your application today and help us raise the bar in patient care!

          Center City San Antonio is the backdrop for a vibrant and diverse community of patients served by Metropolitan Methodist Hospital. Our 354 bed hospital offers outstanding heart and cancer care, general surgery, neurosurgery, orthopedic surgery, obstetrics and gynecology services, inpatient and outpatient rehabilitation services, sleep disorder evaluation and the largest emergency room in downtown San Antonio. Our Suzell Waller Womens pavilion, the only stand-alone facility in downtown San Antonio dedicated to the health of women and their newborn babies, has earned an excellent reputation, one baby at a time.
          Metropolitan Methodist Hospital has been recognized by Modern Healthcare as a Best Place to Work in Healthcare and for the third consecutive year as a Leader in LGBT Healthcare Equality by the Human Rights Campaign (HRC) Foundation. We are pleased to announce it is the first hospital in San Antonio to achieve Pathway to Excellence designation by the American Nurses Credentialing Center. We have also been nationally recognized by Leapfrog for our focus on safety and quality, receiving a Grade A Hospital Safety Score for 5 consecutive rating periods, as well as Leapfrogs Top General Hospital award in 2017. For more information, please visit our website at and select Metropolitan...

Keywords: HCA., San Antonio , RN / Case Management / Texas / Permanent / Registered Nurse Case Manager Coordinator Job, Healthcare , San Antonio, Texas

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