Case Manager RN

Description

Introduction

Do you have the career opportunities as a(an) 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 Henrico Doctors Hospital Forest which is a part of the nation’s leading provider of healthcare services, HCA Healthcare.

Benefits

Henrico Doctors Hospital Forest, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

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 Henrico Doctors Hospital Forest!

Job Summary and Qualifications

As a Case Manager Registered Nurse (RN), you will provide direct nursing care in accordance with established policies, procedures and protocols of the hospital. While providing clinical and administrative support on the unit, you will work closely with the clinical team to create and implement a care plan that meets each patient’s needs. You will also coordinate unit activities and assure accountability of all assigned tasks.

• Your Primary function in this role is to Performs admission and concurrent review for all payers and maintains legible documentation as directed by the Utilization Management Plan
• As a member of Case Management team you will apply the rules of Severity of Illness, Intensity of Service, and Discharge Screens/Indicators consistently in evaluating medical necessity.
• You will refer patients who require extended care post discharge to long-term care facilities. Once an appropriate bed is located, arrange for the patient’s transfer.
• You responsibility includes to Identify, track, and record Alternative Care Days (ACDs). Intervene to prevent or decrease ACDs as appropriate..
• Initiate denial and appeal process in accordance with policy. Refers HINN letters to Director.
• Coordinate patients discharge planning and Provide crisis and supportive counseling to enhance the patient’s and family’s problem solving and coping skills. Counsel patient/families regarding advance medical directives. 

What qualifications you will need:

• Required Five years of recent clinical experience as RN years demonstrated leadership experience
• Commercial Utilization Management and/or Case Management experience; Quality Management Experience preferred.
• Graduate of an accredited school of nursing.
• Bachelor’s Degree preferred.
• Licensed a Registered Nurse in the Commonwealth of Virginia or has a Compact license.
• Basic Life Support (BLS) certification.

This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).

Henrico Doctors’ Hospital has provided quality healthcare services to the Richmond community since 1974. We give patients access to trained physicians and advanced technology. Our 340-bed hospital is one of the regions leading acute care facilities. The hospital offers a full range of healthcare services, with specialties in trauma, cardiovascular and neurological care, women’s health, oncology, and groundbreaking diagnostic imaging. We are a national trendsetter in kidney transplants through the Virginia Transplant Center. As part of the Virginia Institute of Robotic Surgery, we drive the state in minimally invasive procedures with da Vinci robotic-assisted surgeries.

We are proud to be the recipient of several national awards. The awards include Top 100 Hospital by Truven Health Analytics®, 100 Best Hospitals by Healthgrades, Top 10% in the Nation for Cardiology Services and Treatment of Stroke, and Healthgrades Stroke Care Excellence Award. We have many other Five-Star clinical achievements recognizing our heart, stroke, and critical care programs.

At Henrico Doctors’ Hospital, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

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.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If this opportunity is your next step in your career path, we encourage you to apply for our 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 and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.