RN Case Manager

RN Case Manager

Case Management Department

Full Time, Day Shift, 1.0 FTE

HCA Florida Lawnwood Hospital

Fort Pierce, FL

Facility Description:

HCA Florida Lawnwood Hospital is a 380-bed acute-care hospital offering a full range of services. Lawnwood is home to the most experienced Heart Institute on the Treasure Coast providing interventional and therapeutic care, including open-heart surgery. Other hospital services include adult and pediatric emergency services, labor/delivery and birthing, pediatrics, orthopedics, oncology, nuclear medicine, diagnostic services, as well as inpatient and outpatient surgical services.

Lawnwood is designated by the Joint Commission as a Certified Primary Stroke Center. The Physical Rehabilitation Center is CARF accredited and we are designated a Level II Trauma Center by the Florida Department of Health and verified by the American College of Surgeons. We also offer a freestanding ER in Vero Beach providing emergency treatment for adults and children closer to home. Additionally, Lawnwood offers the area's only Level III Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU). At Lawnwood patients come first - no matter what! We invite you to work in a fast-paced environment with a team of top healthcare professionals while enjoying a culturally vibrant, yet laid-back quality of life centered on Treasure Coast beaches, boating, fishing, community and the outdoors.

Benefits:

We are committed to providing our employees with the support they need. At HCA Florida Lawnwood Hospital, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:

• Student Loan Repayment*
• Tuition Reimbursement/Assistance Programs*
• Paid Personal Leave
• 401k (100% annual match - 3% to 9% of pay based on years of service)
• Identity Theft Protection discounts
• Auto, Home, and Life Insurance options
• Adoption Assistance
• Employee Stock Purchase Program (ESPP)*

*If applicable, please refer to the CBA or the local HR office to confirm if this benefit applies to your position.

Job Description:

The RN CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

Responsibilities:

• Provides case management services for both inpatient and observation patients as assigned
• Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
• Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family.
• Reassesses the patient's clinical condition as indicated. Considers patient's readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community-based resources.
• Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition
• In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate.
• The RN CM is responsible for timely referral to Social Services when risk factors for psychosocial determinants of health are identified.
• Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals.
• Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command.
• Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease states.
• Align patient's needs with available resources to ensure a safe discharge / transition
• Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies.
• Serve as an advocate for patient's rights, needs, and values; ensuring that patients' ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned
• Other duties as assigned

• RN with current state licensure. BSN Bachelor's preferred.
• 5 years or more of nursing experience with 2 years critical care or 3 years nursing experience with 2 years case management experience preferred.
• Certification in case management, nursing, or utilization review preferred.
• InterQual experience, preferred.