HCA, Hospital Corporation of America Registered Nurse Case Manager - Full Time in San Antonio, Texas

Methodist Specialty and Transplant Hospital is licensed for 382 beds and has been nationally recognized by Leapfrog’s Hospital Safety Grade A. It receives international acclaim for its outstanding and dynamic kidney, liver and pancreas transplant programs, setting record numbers for volume and outcomes. Methodist Specialty and Transplant Hospital is home to the Texas Transplant Institute, a nationally recognized center that recently performed the world’s first 16-way kidney donor exchange chain during three consecutive days at a single hospital.

Methodist Specialty and Transplant Hospital earned designation as a Center of Metabolic and Bariatric Surgery Excellence from the American Society for Bariatric Surgery in 2008. Our Sexual Assault Response Team provides a compassionate environment for sexual assault survivors ages 13 and up. This program serves as a model for hospitals and agencies all over the world. For more information, please visit our website atwww.sahealth.comand select Methodist Specialty and Transplant Hospital under Locations.



General Statement of Duties:

The Case Manager will work with patient/families identified to have discharge planning, psychosocial, financial or other needs to develop a plan that will:

1) Optimize functional and self-care abilities;

2) facilitate system access and appropriate utilization of services;

3) facilitate communication and coordination of efforts among health care team members; and

4) promote quality, cost effective outcomes. The Case Manager will demonstrate knowledge and skills necessary to develop a plan based on physical, psychosocial, educational and age related criteria

Essential Job Functions:

  1. Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies resources available to address the needs identified, coordinate referrals and document plan.

  2. Utilize community resources to support patient’s post hospital needs. Documents choice in available resources has been offered.

  3. Performs admission and continued stay reviews. Provides clinical information to payers upon request for certification and reimbursement of care. Discusses alternate level of care with physician. Refers cases not meeting acute care criteria to Physician Advisor as needed.

  4. Facilitates and or provides education of hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization

  5. Keeps current of requirements by JCAHO, HCFA and other state/federal agencies on provision of care, planning and documenting.

  6. Tracks resource statistics to identify improvement opportunities. Attends medical staff and other hospital committee meetings to report findings.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

  1. Education: Graduate of an accredited diploma, associates, or baccalaureate degree nursing program.

  2. Experience: Minimum of 3 years clinical experience in area in which Case Management will be performed.

  3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

  4. Preferred: Prefer at least one year experience in utilization review, resource management, discharge planning or case management.

Minimum License, Certificates, or Registrations Required:

  1. Required: Current Texas licensure as a Registered Nurse

  2. Preferred: Bachelor of Science in Nursing

Job: *Case Management

Title: Registered Nurse Case Manager - Full Time

Location: Texas-San Antonio-Methodist Specialty %26 Transplant Hospital

Requisition ID: 01588-84510