Registered Nurse RN Case Manager
Description SHIFT: Weekends Only SCHEDULE: Full-time Henrico Doctors' Hospitals is a 767 licensed bed facility that consists of five community campuses, Henrico, Parham and Retreat Doctors' Hospitals, West Creek Emergency Center and Hanover Emergency Center. Henrico Doctors' Hospital is a 340-bed community hospital offering a full range of healthcare services. We are a Level II Trauma facility, offering specialized vascular surgery, Neurosurgery, a comprehensive certified stroke center, orthopedics and groundbreaking diagnostic imaging. We're also a national trendsetter in kidney transplants through the Virginia Transplant Center and as part of the Virginia Institute of Robotic Surgery; we lead the state in minimally-invasive procedures with da Vinci robotic-assisted surgeries. HCA 63rd on Fortune's 100 List One of the largest healthcare systems in the US Ranked by Fortune as a Most Admired Company for 3 consecutive years Named by Ethisphere one of the World's Most Ethical Companies HCA Rewards Medical, Dental, Vision, Life and Disability Insurance 401k, Employee Stock Purchase Plan Paid Time Off, Wellness Resources Flexible Spending Accounts Tuition Reimbursement Program ($5,250/calendar year) Student Loan Assistance SPECIFIC ELEMENTS AND ESSENTIAL FUNCTIONS* Applies the rules of Severity of Illness, Intensity of Service, and Discharge Screens/Indicators consistently in evaluating medical necessity. Performs admission and concurrent review for all payers and maintains legible documentation as directed by the Utilization Management Plan. Educates patients and families to the patient's needs post discharge and informs them of the alternatives available to meet those needs. Refers patients who require extended care post discharge to long term care facilities. Once an appropriate bed is located, arranges for the patient's transfer Collaborates with community agencies to provide services to assist with housing, financial, transportation, psychosocial, educational, home health, and home medical equipment needs of patients/families post discharge. Initiates patient/family conference with the health care team to achieve positive outcomes. Identifies, tracks, and records Alternative Care Days (ACDs). Intervenes to prevent or decrease ACDs as appropriate. Initiates denial and appeal process in accordance with policy. Refers HINN letters to Director. Maintains knowledge base for identification and reporting of potential patients with contractual adjustment needs and length of stay issues. Provides crisis and supportive counseling to enhance the patient's and family's problem solving and coping skills. Counsels patient/families regarding advance medical directives. Takes a proactive role in discharge planning. Maintains knowledge base with an awareness of current trends that influence health care practice Qualifications EXPERIENCE Required: Five + years of recent clinical experience as RN. Preferred: Commercial Utilization Management and/or Case Management experience; Quality Management Experience. EDUCATION Required: Registered Nurse with current Virginia licensure. Preferred: BSN We are an Equal Opportunity Employer celebrating diversity. We do not discriminate on the basis of race, color, religion, gender, national origin, citizenship, age, disability, sexual orientation, genetic information, gender identity, protected veteran status, or any other legally protected category in accordance to applicable federal, state, or local laws. Notice Our Company's recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here. For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.