RN Case Manager Observation

Company: HCA Florida North Florida Hospital
Location: Gainesville
Posted on: April 6, 2025

Job Description:

Description

Sign-on Bonus Available Introduction
Do you have the career opportunities as a(an) RN Case Manager Observation you want with your current employer? We have an exciting opportunity for you to join HCA Florida North Florida Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits HCA Florida North Florida Hospital, 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.
  
  Our teams are a committed, caring group of colleagues. Do you want to work as a(an) RN Case Manager Observation where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
  
  Job Summary and Qualifications
  
  The Observation RN CM is responsible for progressing the care for Observation patient and ensures progression of care by reviewing the case promptly and applying IP IQ criteria. The Observation RN CM adheres to HCA standards regarding observation management. In addition, the Observation RN CM will be responsible for adhering to the 2 Midnight Process. The Observation RN CM works closely with the physician by monitoring the case and keeping the physician abreast of findings so appropriate and timely decisions can be made to admit or discharge the patient. When the observation CM identifies barriers that prevent progression, the Observation RN CM will directly intervene to remove the barrier. If the Observation RN CM cannot remove the barrier, the Observation RN CM will escalate the situation to the facility Director of Case Management who will advise on next steps (e.g., contact CMO, CNO, PA). The Observation RN CM is responsible for identification of observation patients with discharge planning needs that could lead to poor outcomes or a return to the hospital. If the Observation RN CM encounters such a patient, the Observation RN CM assumes responsibility for referring to the inpatient RN CM/Social Worker, who will complete a discharge planning evaluation and/or a psychosocial assessment and assume the transition of care. The Observation RN CM coordinates activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.
  
  What you will do in this role:
  • Provides case management services for both inpatient and observation patients as assigned.
  • Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
  • Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family.
  • Reassesses the patient's clinical condition as indicated. Considers patient's readmission status or risk of readmission and develops strategies to mitigate, including education on appropriately accessing healthcare resources, preventative education, and community based resources.
  • Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and with the patient's physician to facilitate a successful care transition.
  • Partners with Social Services to ensure the post-acute medical needs and level of care are appropriate.
  • Assumes responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified.
  • Involves patient and family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals.
  • Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command.
  • Makes appropriate referrals to third party payer and disease and case management programs for recurring patients and patients with chronic disease states.
  • Facilitates patient throughput with an ongoing focus on an effective care transition, quality, and efficiency.
  • Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team.
  • Aligns patient needs with available resources to ensure a safe discharge/transition.
  • Acts as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies.
  • Seeks ways to control costs without compromising patient safety, quality of care, or the services delivered.
  • Functions in a manner to promote quality patient care and assure a positive patient experience.
  • Directs activities to identify and provide for the needs of the under-resourced patient population, including patient education activities, patient assistance programs, and community-based resources,
  • Participates in performance improvement activities, including identifying, documenting, and intervening when avoidable days occur.
  • Adheres to established policy and procedure and standards of care; escalates issues promptly through the established chain of command.
  • Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.
  • Serves as an advocate for patient's rights, needs, and values; ensures that patients' ethnic, cultural, or religious values, beliefs, preferences, and needs are considered and aligned.
  • Performs other duties as assigned.
  • Practices and adheres to the "Code of Conduct" and "Mission and Value Statement." What qualifications you will need:
    • Florida RN license and/or approved multistate RN license required. Compact license holders have 60 days to obtain the Florida license after relocation.
    • BLS-AHA Provider issued card required within 30 days of start
    • Associate Degree in Nursing required
    • Bachelor's Degree in Nursing preferred
    • 2+ years experience in case management OR 3+ years experience in clinical nursing required
    • InterQual experience required
    • Strong Utilization experience preferred
      
      HCA Florida North Florida Hospital is a 523-bed, full-service medical and surgical acute care center. For over 49 years, we have served North Central Florida. We offer comprehensive cardiovascular care, oncology, orthopedics, and neurosciences. We offer minimally-invasive laparoscopic and robotic surgery, weight loss surgery and treatment. Other services that we provide include women's health and wound therapy. We are fully accredited by the Joint Commission and certified as a Comprehensive Stroke Center. Our hospital has an Accredited Chest Pain Center by ACC (American College of Cardiology) and is designated as a Blue Distinction Center for Spine Surgery and Bariatric Surgery. We are committed to patient safety and quality of care. We have received the highest scores available in recognition of this commitment.
      
      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 you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our RN Case Manager Observation opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
      
      We are an equal opportunity employer . click apply for full job details

Keywords: HCA Florida North Florida Hospital, Gainesville , RN Case Manager Observation, Executive , Gainesville, Florida