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Registered Nurse (RN) - Observation Case Manager

Company: HCA.
Location: Austin
Posted on: May 19, 2019

Job Description:

Description SHIFT: Days (rotating weekends)

SCHEDULE: Full-time

is part of , one of the largest health systems in Texas, which was recognized with a in 2014. St. David's South Austin Medical Center is an acute care facility with 316 beds, offering a range of complex specialties and sub-specialties, including a nationally accredited oncology program with the areas only adult bone marrow transplant program; a trauma program that includes all of the capabilities and programmatic elements of a Level II trauma center to treat the most severely injured and critical patients; a comprehensive cardiac program; full-service maternity and newborn care with Level I and II nurseries; and two full-service emergency centers in the communities of Bee Cave and Bastrop. *This position will be for an Observation Case Manager and will work 4 ten hour shifts each week. They will rotate every other month utilizing the following schedule:
Month A: M/T/W/ThMonth B: F/Sa/Su/M
POSITION SUMMARY The Case Manager will facilitate the interdisciplinary plan of care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care, and resource management. The Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. The Case Manager will identify potential barriers to patient throughput and quality outcomes. The Case Manager will facilitate appropriate discharge plans. PERFORMANCE EXPECTATIONS Performs a comprehensive assessment of psychosocial and medical needs of assigned patients Develops a case management plan of care 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 Assumes a leadership role with the interdisciplinary team to manage care, through criteria driven processes, for the appropriate level of care, patient status and resource utilization Evaluates admissions for medical necessity using approved criteria at defined intervals throughout the episode of care; escalates medical necessity and admission status issues through the established chain of command Evaluates and assess observation patients for appropriateness in observation status Performs utilization management reviews and communicates information to third party payors Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives; monitors self-compliance and implements process changes to ensure compliance to such regulations and qual...

Keywords: HCA., Austin , Registered Nurse (RN) - Observation Case Manager, Healthcare , Austin, Texas

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