Job Code: 06218-91597
HCA Houston Healthcare Mainland – Texas City, TX
Registered Nurse Case Manager (RN)
Founded in 1952, Mainland Medical Center has 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
Center for Sleep Disorders
Center for Wound Care and Hyperbaric Medicine
Level II Neonatal Intermediate Care Unit
Occupational Health and Wellness
Senior Mental Health
Mainland is currently looking for a Case Manager (RN).
Responsibilities: Three Saturdays a month
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.
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.
MUST BE AVAILABLE TO WORK AT LEAST THREE SATURDAYS A MONTH
Associate's Degree/College Diploma