Registered Nurse Case Manager
15 hours ago
Houston
Description Introduction Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity for you to join The Woman's Hospital of Texas which is a part of the nation’s leading provider of healthcare services, HCA Healthcare. Do you want to work where you have a voice? Nurses are at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at The Woman's Hospital of Texas! Job Summary and Qualifications • Under the direction of the Case Management Manager and the Director of QRM, reviews admissions and extended stays of all PPS, non-PPS, managed care, self-pay and other third party payers in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved by the medical staff., • In collaboration with the Director of Quality and Resource Management, maintains a data collection system for monitoring admissions and assigning extended stays in accordance with criteria approved by the Utilization Management Committee and Medical Staff with referral of all cases in question to the Utilization Management Physician Advisor., • Communicates with third party payers regarding extended stays for approval., • Coordinates Discharge Planning meetings with nursing and ancillary staff on individual nursing units to promote ongoing review of patient care activities related to provision of services, patterns of care, and utilization of resources., • Assists in Utilization Management Committee activities by providing data for reports, medical care evaluation studies, and maintenance of records as deemed appropriate., • Maintains liaison with Social Worker and other individuals/groups responsible for discharge planning to facilitate continuity of care which may include initiating and/or coordinating discharge planning., • Recognizes the purpose of employment is to prioritize the patient as number one., • Fulfills the duty and responsibility to maintain competence and to continue personal and professional growth., • Identifies and assists with opportunities for performance improvement activities on the unit and with other service areas., • Demonstrates fiscal responsibility by taking ownership of time management, decreasing waste (of time and supplies) and promoting cost effectiveness while maintaining patient safety and quality of care, • Demonstrates the ability to be an advocate for and strive to protect the health, safety and rights of the patient., • Interactions with patients and colleagues demonstrate compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status or cultural beliefs., • Communicate effectively with other care providers (physicians, nurses, and satellite staff) to provide for continuity of patient care and to meet the needs of the customers we serve., • Demonstrates ability to fulfill requirements of attendance, punctuality, and timekeeping practices., • Behaviors and interactions demonstrate a positive attitude, personal initiative and motivation to achieve the goals of the unit., • To uphold the standards of the profession and organization and practice ethically and with integrity, • Other duties as assignedWhat qualifications you will need:, • Associates or BSN, • Current licensure in Texas as a Registered Nurse Benefits The Woman's Hospital of Texas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services, • Wellbeing support, including free counseling and referral services, • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence, • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling, • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing, • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Note: Eligibility for benefits may vary by location. "Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare At ___, our care philosophy is Woman First. It’s in our name, and it’s in our founding mission. Our 420+ bed hospital was founded in 1976 by 29 physicians who recognized a need in Houston for a facility focused solely on women in all stages of life. We were the first women's hospital in Houston and first facility in Texas dedicated to the health of women and newborns. Today, we are the state’s premier facility dedicated to the health of women and children offering expertise and an outstanding level of care in breast health, imaging, gynecology, minimally invasive surgery, infertility, obstetrics, high-risk pregnancy, and pediatrics. We deliver 800+ babies a month, more than any other hospital in Texas, and care for more multiple births than any other hospital in the region. Our Level IV NICU provides the highest level of care for premature babies and we have the area's only March of Dimes NICU Family Support program. As a member of HCA Houston Healthcare, the most comprehensive healthcare provider in the region, we are a part of a network that delivers stronger, smarter and more accessible care to women than any other medical system across the Houston area. 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. If this opportunity is your next step in your career path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing apply today! 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.