HCA, Hospital Corporation of America Registered Nurse Case Manager - Full Time in San Antonio Live Oak, Texas

Northeast Methodist Hospital has played a major role in the phenomenal economic growth experienced in northeast Bexar County. Located in the city of Live Oak at Interstate 35 and Judson Road, Northeast Methodist Hospital has undergone major renovations to upgrade and expand the facility and services to better meet the needs of this area. The expansion facilitated advanced services in 24-hour emergency, surgical, cardiovascular (three cardiac cath labs with electrophysiology capabilities) units, a spacious intensive care unit and inpatient rehabilitation services. A new orthopedic service has recently been implemented – The Joint Replacement Academy – offering the latest treatment options for knee and hip pain. Northeast Methodist Hospital is accredited by the Joint Commission in stroke care and is designated as an accredited Chest Pain Center.

What sets us apart is that we recognize and value the unique needs of each of our patients. It is a process that we continue to improve on, creating ways to better serve our community when they need us most. Many of our patients find that our staff is among the friendliest group of people you will meet. Ours is a hospital that is patient-focused and staffed by health care experts who genuinely care for the well-being of others. It is our promise—as part of Methodist Healthcare’s mission of Serving Humanity to Honor God.

General Statement of Duties:

The Case Manager will work with patient/families identified to have discharge planning, psychosocial, financial or other needs to develop a plan that will:

1) Optimize functional and self-care abilities;

2) facilitate system access and appropriate utilization of services;

3) facilitate communication and coordination of efforts among health care team members; and

4) promote quality, cost effective outcomes. The Case Manager will demonstrate knowledge and skills necessary to develop a plan based on physical, psychosocial, educational and age related criteria

Essential Job Functions:

  1. Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies resources available to address the needs identified, coordinate referrals and document plan.

  2. Utilize community resources to support patient’s post hospital needs. Documents choice in available resources has been offered.

  3. Performs admission and continued stay reviews. Provides clinical information to payers upon request for certification and reimbursement of care. Discusses alternate level of care with physician. Refers cases not meeting acute care criteria to Physician Advisor as needed.

  4. Facilitates and or provides education of hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization

  5. Keeps current of requirements by JCAHO, HCFA and other state/federal agencies on provision of care, planning and documenting.

  6. Tracks resource statistics to identify improvement opportunities. Attends medical staff and other hospital committee meetings to report findings.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

  1. Education: Graduate of an accredited diploma, associates, or baccalaureate degree nursing program.

  2. Experience: Minimum of 3 years clinical experience in area in which Case Management will be performed.

  3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

  4. Preferred: Prefer at least one year experience in utilization review, resource management, discharge planning or case management.

Minimum License, Certificates, or Registrations Required:

  1. Required: Current Texas licensure as a Registered Nurse

  2. Preferred: Bachelor of Science in Nursing

Job: *Case Management

Title: Registered Nurse Case Manager - Full Time

Location: Texas-San Antonio Live Oak-Northeast Methodist Hospital

Requisition ID: 01574-80014