Registered Nurse RN Case Manager
Company: HCA Healthcare
Location: Salem
Posted on: January 26, 2023
Job Description:
Description Doyou want to join an organization that invests in
you as a RN Case Manager? AtHCA LewisGale Regional Health System,
you come first. HCA Healthcare has committed up to $300million to
our incredible team members over the course of three years. At HCA
LewisGale Regional Health System, we want to ensure your needs are
met. We offer a variety ofcomprehensive medical, dental, and vision
plans along with some unique benefits including:
- StudentLoan Repayment-up to $150 a month
- TuitionReimbursement/Assistance Programs
- PaidPersonal Leave
- 401k(100% annual match - 3%-9% of pay based on years of
service)
- IdentityTheft Protection discounts
- Auto,Home, and Life Insurance options
- AdoptionAssistance
- EmployeeStock Purchase Program (ESPP) You contribute to our
success. Every role has an impact onour patients' lives and you
have the opportunity to make a difference. We arelooking for a
dedicated RN Case Manager like you to be a part of our team. Check
us out on Facebook! Responsibilities of theCase Manager
- Develops a case management plan of care for new and reoccurring
patients 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.
- Evaluates admissions for medical necessity using approved
criteriaat defined intervals throughout the episode of care;
escalates medicalnecessity and admission status issues through the
established chain ofcommand
- Performs utilization management reviews and communicates
information to third party payers
- Acts as a liaison through effective and professional
communications between and with physicians, patient / family,
hospital staff, and outside agencies
- Makes appropriate referrals to third party payer disease and
case management programs for recurring patients and patients with
chronic disease states
- Assesses patients' post discharge needs and facilitates the
provision of services necessary to meet identified needs
- 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 careLewisGale Medical Center (LGMC), a
521-bed acute care facility, is a Hospital Corporation ofAmerica
(HCA) facility, one of the nation's largest and leading
healthcaresystems. Through our extensive networkstretching from the
Alleghany Highlands and Rockbridge County to the Roanokeand New
River Valleys, we have the privilege of serving more than
250,000patients each year. LewisGale is also ranked among the top
hospitalsin Virginia for benchmarked quality cancer care, patient
safety andsatisfaction and health outcomes. The Centers for
Medicare and MedicaidServices (CMS) has ranked us among the top
hospitals nationwide on qualitymeasures for our services and
treatments to address heart attack, heartfailure, pneumonia and
surgical care. Most importantly, ourhealthcare family is community
focused and dedicated to enhancing the healthand quality of life by
putting our patients first. For more information on the cultureat
LGMC click on the video
below:https://www.youtube.com/watch?v=vs7IFayiuhw HCA Healthcare
has been continually named a World'sMost Ethical Company by
Ethisphere since 2010. In 2018, HCA Healthcare spentan estimated
$3.3
EDUCATION REQUIRED AND/OR PREFERRED:
- Diploma or Associates Degree from a professional nursing
program (required)
- BSN or current enrollment in a BSN program at an accredited
school of Nursing (preferred) LICENSURE/CERTIFICATION:
- Current licensure as an RN in the state of Virginia or current
multi-state compact RN license with eligibility to practice in VA
is required.
- American Heart Association Basic Life Support (BLS) Health Care
Provider (required)Be a part of an organization that invests in
you. We areactively reviewing applications for our RN Case Manager
opening. Highlyqualified candidates will be promptly contacted for
interviews. Submit yourapplication and help us raise the bar in
patient care! We are an equalopportunity employer and value
diversity at our company. We do not discriminateon the basis of
race, religion, color, national origin, gender, sexualorientation,
age, marital status, veteran status, or disability status.
Keywords: HCA Healthcare, Roanoke , Registered Nurse RN Case Manager, Executive , Salem, Virginia
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