Description IntroductionAre you looking for a place to deliver excellent care patients deserve At TriStar Skyline Medical Center we support our colleagues in their positions. Join our Team as a(an) Case Management RN and access programs to assist with every stage of your career.BenefitsTriStar Skyline Medical Center, 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.Are you a continuous learner With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our Case Management RN opening and continue to learn!Job Summary and QualificationsThe RegisteredNurse (RN)CMis responsible forpromoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuringappropriate resourcemanagement,and developing a safeappropriate dischargeplan in collaboration with the multidisciplinary team.The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team.The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance ofoptimalcare andappropriate resourceutilization. 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 in particular with the patient's physician to facilitate a successful care transition. Partnerswith Social Services to ensurethe post-acute medical needs and level of care are appropriate. Assumes responsibilityfor timely referral to Social Services when risk factors for psychosocial determinants of health are identified. Involves patient andfamily/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 (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command. Makes appropriate referrals to third party payeranddisease 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, care coordination interventions, and case management activities to effectively communicate to all members of the health care team. Aligns patientneeds with available resources to ensure a safe discharge/transition. Acts as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies. Actively seeks ways to control costs without compromising patient safety, quality of care,or the services delivered. Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources, Participates in performance improvement activities including, but not limited to, identifying, documenting,and intervening when avoidable days occur. Adheres to established policy and procedure and standards of care; escalates issuespromptlythrough the established chain of command. Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives. Servesas an advocate for patient's rights, needs, and values; ensuresthat patients’ ethnic, cultural, or religious values, beliefs,preferences,andneeds are considered and aligned. Performs other duties as assigned. Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.” Associate Degree in Nursing or Nursing DiplomaBachelor’s Degree in Nursing2+years experiencein case management OR 3+years experiencein clinical nursingInterQualexperienceTriStar Skyline Medical Center is a 250+ bed facility. We are Tennessee's first comprehensive stroke center and a national leader in neuroscience. In addition, we are equipped with 3 helipads, new ICU and Medical/Surgical floors, and burn care services. We offer a CARF accredited Inpatient Rehabilitation program and are an ACS verified Level II Trauma Center. As an Accredited Chest Pain Center with PCI, TriStar Skyline is a leading provider of emergency heart care."Good people beget good people."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder If growth and continued learning is important to you, we encourage you to apply for our Case Management RN opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.