HCA, Hospital Corporation of America Registered Nurse (RN), Clinical Case Manager-Days in El Paso, Texas
About Del Sol Medical Center Since 1974, Del Sol Medical Center has provided quality healthcare to El Paso and the surrounding region. As a full-service, acute care hospital in East El Paso with a Level II Trauma designation in Emergency Services, we continue to expand our services to meet the growing needs of our tristate community, providing special expertise in Cardiology, Maternity & Child Services, a Level III NICU, a Center of Excellence designation for our Bariatric Clinic, a Level II Trauma Center, and a newly renovated 32-bed Rehabilitation Hospital. The physicians, nurses and staff at our 350-bed hospital are committed to providing the highest quality care with compassion and integrity.
*POSITION SUMMARY: * Provides overall coordination in the delivery of medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including governmental and non-governmental payers and quality assurance agencies. Promotes a cooperative and supportive relationship as liaison with patient, family, facility staff, physicians, funding representatives and community agencies. Ensures continuity in the handoff of patient clinical information from the hospital to other involved healthcare entities. The duties of the acute care Case Manager may be performed as in the integrated or triad model.
*POPULATION SERVED: * All patients admitted to the hospital, emergency room, or outpatient areas and their families and/or caregivers.
REQUIRED LICENSURE/CERTIFICATIONS: Current RN or LVN licensure; Preferred: BSN level of education.
_REQUIRED EDUCATION/EXPERIENCE:_ (Required) Registered Nurse or Licensed Vocational Nurse with clinically focused work history.
_PREFERRED EDUCATION, LICENSURE, CERTIFICATION, EXPERIENCE, SKILLS, KNOWLEDGE AND__ABILITIES:_ Prefer three-five years clinical experience within an acute health care setting with recent work history in acute care case management role or related health care experience. Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality assurance, use of InterQual® or otherclinical decision support criteria, discharge planning, and reimbursement structures (i.e. Government and non-governmental payers). Ability to read, analyze and comprehend complex clinical and financial data and its application to level of care criteria and discharge options; strong, broad-based clinical knowledge and understanding of pathology/physiology of disease processes; excellent critical thinking skills; assertive personality traits to facilitate ongoing physician communication; organize, prioritize and manage time efficiently. Computer literacy and familiarity with the operation of basic office equipment. Must be able to communicate effectively with a wide range of hospital personnel, physicians, patients/family members within various socioeconomic groups and representatives of varied outside agencies. Ability to communicate effectively with and know the age-specific needs of patients of adolescent, adult and geriatric age. * Demonstrate an understanding of HCA's "Patients First" safety initiative through strictcompliance to all safety protocols and procedures. * Recognizes that variables such as age, race, nationality, culture, disease-causing vulnerabilities, socio-economic factors affect the patient populations under their care. Uses interventions appropriate to these factors (e.g. interpreter, dietary preferences, social service consult, etc)
Job: *Case Management
Title: Registered Nurse (RN), Clinical Case Manager-Days
Location: Texas-El Paso-Del Sol Medical Center - El Paso
Requisition ID: 01512-18671