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Registered Nurse Case Manager Observation

Job in Austin, Travis County, Texas, 78716, USA
Listing for: St. David's HealthCare
Full Time, Part Time position
Listed on 2026-01-24
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse, Clinical Nurse Specialist, Nurse Practitioner
Job Description & How to Apply Below

Overview

Registered Nurse Case Manager Observation

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 's Healthcare have the opportunity to make a real impact. As a Registered Nurse Case Manager Observation you can be a part of change.

Benefits
  • 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



Note:

Eligibility for benefits may vary by location.

Job Summary And Qualifications

The Observation RN CM is responsible for progressing the care for Observation patients and ensuring progression of care by reviewing the case promptly and applying IP IQ criteria. The Observation RN CM adheres to HCA standards regarding observation management and 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 barriers to progression are identified, the Observation RN CM will intervene or escalate as needed.

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 transitions between levels of care.
  • Performs a comprehensive assessment of psychosocial, medical and discharge needs, and evaluates available resources.
  • Reassesses the patient’s clinical condition as indicated and develops strategies to mitigate readmission risk, including education and community resources.
  • Coordinates the plan of care and discharge planning with the multidisciplinary team and patient’s physician to facilitate a successful transition.
  • Partners with Social Services to ensure appropriate post-acute medical needs and level of care.
  • Refers to Social Services when risk factors for psychosocial determinants of health are identified.
  • Involves patient and family in identifying needs and setting realistic goals.
  • Evaluates progression of care using evidence-based tools (Inter Qual) and escalates as needed.
  • Makes referrals to third-party payers and disease/case management programs for recurrent patients or chronic disease states.
  • Facilitates patient throughput with a focus on safe and efficient care transitions.
  • Documents recommendations, discharge plans, and care coordination activities to inform the health care team.
  • Aligns patient needs with available resources for safe discharge/transition.
  • Acts as a liaison with physicians, patients/families, hospital staff, and outside agencies.
  • Identifies opportunities to control costs without compromising patient safety and quality.
  • Supports under-resourced…
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