Description IntroductionDo you currently have an opportunity to make a real impact with your work With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at HCA Florida Lake City Hospital have the opportunity to make a real impact. As a(an) Case Manager RN PRN you can be a part of change.BenefitsHCA Florida Lake City 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 wellbeing401(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 stockFamily 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 moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime 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 BenefitsNote: Eligibility for benefits may vary by location.It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) Case Manager RN PRN. We want your knowledge and expertise!Job Summary and QualificationsProvides hospital case management/utilization review and discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment. Coordinate the integration of the social service function into patient care. Coordinate the hospital activities concerned with case management and discharge planning. Adhere to departmental goals, objectives, standards of performance, and policies and procedures. Ensure compliance with quality patient care and regulatory compliance.What you will do in this role:Ensures compliance with all regulatory agency requirements.Maintains working knowledge of requirements of payers, current knowledge of community resources and provider agencies as well as Federal/State and County guidelines.Reviews all admissions regardless of pay source within (1) working day and at least every 72 hours as indicated by patient’s condition and insurance company request and documents in the UM module. Performs initial screening of identified patients for appropriate level of care, priority, payer status and high-risk criteria.Provides current clinical data to Health Information and updates as indicated to facilitate correct DRG assignment on a concurrent basis. Identifies appropriate delays in the health care process and documents in the UM module Demonstrates current knowledge of Interqual and Millimen Criteria for admission, continued stay and discharge.Ensures staff abides by government regulations in transferring acutely ill patients to higher or lower level of care.Participates in and demonstrates current knowledge of assigned patients’ condition/readiness for discharge and discharge plan during Interdisciplinary Care Conferences. Adheres to established policy and procedure and standards of care: monitors timeliness of services provided; intervenes as needed to minimize delays. Demonstrates skills and accuracy in collecting and inputting data into hospital computer system as relevant to position. Knowledge of procedures for maintaining security, confidentiality and integrity of patient’s medical information.Demonstrates ability to collect, analyze and present data as appropriate for position.Initiates and/or participates in PI process to address and resolve issues impacting quality. Consistently exercises discretion and judgment to analyze, interpret, make deductions and then decide what actions are necessary base on the varying facts and circumstances of each individual case. Escalates unresolved status, level of care and standards of care issues through the Physician Advisor/established chain of command in a timely manner.Conducts review for appropriate utilization of services from admission through discharge. Will be expected to meet all productivity requirements.Works independently in the absence of supervision.Attends department meetings, completes mandatory in-services, and is subject to disciplinary action for excessive absenteeism. Provides on call and weekend/holiday coverageWhat qualifications you will need:Registered NurseAssociate DegreeOne year experience in case management and/or supervisory/management position involving case management/utilization review/responsibility in an acute care hospital and/or managed care setting required.HCA Florida Lake City Hospital is a 103-bed acute care hospital. For over 60 years, we have served Columbia, Hamilton, and Suwannee counties and surrounding communities. Our hospital is a part of HCA Healthcare North Florida. We offer medical and surgical programs including 24-hour emergency care, heart care, interventional cardiology, orthopedics, cancer care, and imaging and rehabilitation services. We are an Accredited Primary Stroke Center by The Joint Commission. We are an Accredited Chest Pain Center by the American College of Cardiology. We have achieved Disease Specific Certification in the treatment of Sepsis by the Joint Commission. For 20 years in a row, we have been named the area's Best of the Best Hospital. We were named an employer of choice in 2019 by the Lake City-Columbia County Chamber of Commerce. 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."There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Case Manager RN PRN opening. Submit your application today and help advance the practice of nursing.We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.