RN Case Manager

Description

Currently offering sign‑on bonus up to $10k! Are you looking for a place to deliver excellent care patients deserve? At Portsmouth Regional Hospital we support our colleagues in their positions. Join our team as an RN Case Manager and access programs to assist with every stage of your career.

• Comprehensive medical coverage covering many common services at no cost or low copay. Includes prescription drug, behavioral health, free telemedicine, and free Air Med medical transportation.
• Dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans, 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 other programs.
• 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 offering free coverage to full‑time and part‑time colleagues based on income.

Eligibility for benefits may vary by location.

The Registered Nurse (RN) CM promotes patient‑centered care by coordinating care plans for inpatient and observation patients, managing length of stay, ensuring appropriate resource use, and developing safe discharge plans with the multidisciplinary team.

• Provides case management services for both inpatient and observation patients as assigned.
• Identifies patients at risk for adverse outcomes during transitions of care.
• Performs comprehensive assessment of psychosocial, medical, and discharge needs of patients and families, and evaluates resources available.
• Reassesses clinical condition and considers readmission risk, developing strategies to mitigate it.
• Coordinates plan of care and drives discharge planning with collaboration among physicians and the care team.
• Partners with Social Services to ensure post‑acute needs and level of care are appropriate.
• Assumes responsibility for timely referral to Social Services when psychosocial determinants of health are identified.
• Involves patient and family in identifying needs and expectations to develop realistic goals.
• Evaluates progression of care using evidence‑based tools and approved criteria (Inter Qual), escalating issues through the chain of command.
• Makes appropriate referrals to third‑party payers and disease‑ and case‑management programs for chronic conditions.
• Facilitates patient throughput with focus on effective care transition, quality, and efficiency.
• Documents professional recommendations, discharge plan, care coordination interventions, and case‑management activities.
• Aligns patient needs with available resources to ensure safe discharge.
• Acts as a liaison, communicating professionally between physicians, patients/families, hospital staff, and outside agencies.
• Actively seeks ways to control costs without compromising patient safety, quality of care, or services delivered.
• Directs activities to identify and provide for under‑resourced patient needs through education programs, assistance activities, and community resources.
• Participates in performance‑improvement activities, identifying, documenting, and intervening when avoidable days occur.
• Adheres to established policy and procedure and standards of care; escalates issues promptly.
• Serves as an advocate for patient’s rights, needs, and values, ensuring cultural and religious considerations are respected.
• Performs other duties as assigned.
• Practices and adheres to the…