RN Case Manager Utilization Management - HCA Healthcare

Description

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Case Manager Behavioral Utilization Management today with Chippenham Hospital.

Benefits

Chippenham Hospital, 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 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.

Come join our team as a(an) Case Manager Behavioral Utilization Management. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

• Applies the rules of Severity of Illness, Intensity of Service, and Discharge Screens/Indicators consistently in evaluating medical necessity.
• Performs admission and concurrent review for all payors and maintains legible documentation as directed by the Utilization Management Plan.
• Identifies, tracks, and records Alternative Care Days (ACD’s). Intervenes to prevent or decrease ADC’s as appropriate.
• Initiates denial and appeal process in accordance with policy.
• Identifies and intervenes to coordinate care on patients in relation to appropriateness of level of care length of stay and resource utilization issues.
• Initiates and monitors referral process of patients post discharge.
• Demonstrates awareness of current trends that influence health care practice and assures compliance with professional, regulatory, governmental and organization standards

What qualifications you will need:

• Nonviolent Crisis Intervention must be obtained within 60 days of employment start date
• Bachelors Degree, or Registered Nurse Diploma
• Licensed Clinical Social Worker (LCSW), or Licensed Professional Counselor (LPC), or Registered Nurse

• Required: Five + years of recent clinical experience

• Preferred: Commercial Utilization Management and/or Case Management experience; Quality Management Experience
  

CJW Medical Center is comprised of Chippenham Hospital and Johnston-Willis Hospital. We have served the greater Richmond Virginia area for over 100 years. Our campuses offer services in orthopedics, joint care, behavioral health, cancer care, and neurology. We have been recognized as a top performer on Key Quality Measures. Our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Case Manager Behavioral Utilization Management opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and 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.