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Registered Nurse Case Manager Observation

Job in Austin, Travis County, Texas, 78719, USA
Listing for: HCA
Full Time, Part Time position
Listed on 2026-01-21
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse, Clinical Nurse Specialist
Job Description & How to Apply Below
Description

Introduction

Do 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 ids Healthcare have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager Observation you can be a part of change.

Benefits

St. Davids Healthcare, 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 Air Med 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.

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) Registered Nurse Case Manager Observation. 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.

Your responsibilities will include:

* 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 patients physician to facilitate a successful care transition.

* Partners with Social Services to ensure the post-acute…
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