HCA, Hospital Corporation of America Registered Nurse (RN) Case Manager in Texas City, Texas
_Mainland Medical Center__–__Texas City, TX_ _Case Manager (RN)_ __ Founded in 1952,Mainland Medical Centerhas been part of Galveston County for more than 55 years. Originally a 90-bed hospital, we have grown to a 223 bed acute care facility offering quality, compassionate care with state-of-the-art services. Our services include inpatient and outpatient medical, surgical and specialty services.
Mainland Medical Center is part of the HCA Gulf Division, a comprehensive network of hospitals, outpatient surgery centers, emergency centers, cancer centers, and diagnostic imaging facilities. It offers a complete continuum of specialized health programs and services that meet the needs of Greater Houston and South Texas residents and businesses. Our growth is truly a reflection of the changing needs of our community, our patients and rapidly advancing medical technology. Our services include: * Breast Care Center * Cardiovascular Services * Center for Sleep Disorders * Center for Wound Care and Hyperbaric Medicine * Emergency Services * Level II Neonatal Intermediate Care Unit * Occupational Health and Wellness * Senior Mental Health * Women’s Services
Mainland Medical Centeris currently looking for aCase Manager (RN).
_Responsibilities:_ * Applies problem-solving techniques to the Case Manager process. * Assesses variables that impact on health and functioning. * Interprets clinical information and assess implication for treatment. * Develops an individualized case management plan that addresses singular physical, vocational, psychosocial, financial and educational needs. * Understands insurance policy language. * Presents various health care options. * Documents Case Management activities. * Maintains familiarity with disease processes available resources and treatment modalities, assessing their quality and appropriateness for specific disabilities, illnesses and injuries. * Adheres to and complies with HCA's ethics and compliance policies and procedures in the Code of Conduct. Attends annual training sessions.
_Qualifications:_ * At least 1 year experience as a case manager in a healthcare setting preferred. * Current Texas RN licensure. * Knowledge of accreditation and regulatory standards. * Interpersonal skills in working with physicians, healthcare professionals, patients and families. * Possess working knowledge of utilization review, case management and DRGs. * Demonstrate knowledge of commercial insurance requirements/criteria for indications of hospitalization. * Requires working in a fast-paced setting and self-motivated.
Title: Registered Nurse (RN) Case Manager
Location: Texas-Texas City-Mainland Medical Center - Texas City
Requisition ID: 06218-68015