Registered Nurse Case Manager Observation

Description

As the nation’s largest private employer of Registered Nurses, we’re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice. That’s why more than 80% of our hospitals earn an A or B Leapfrog safety grade, rank in the top 5% nationally for patient outcomes through Health Grades, or are recognized as Magnet or Pathway to Excellence facilities.

Join us!

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!

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 patient's physician to facilitate a successful care transition.
• Partners with Social Services to ensure the post-acute medical needs and level of care are appropriate.
• Assumes responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified.
• Involves patient and family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals.
• Evaluates progression of care using evidence-based tools and approved criteria (Inter Qual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command.
• Makes appropriate referrals to third party payer and disease and case management programs for recurring patients and patients with chronic disease states.
• Facilitates patient throughput with an ongoing focus on an effective care transition, quality, and efficiency.
• Documents professional recommendations, discharge plan,…