Summary:

The Registered Nurse Case Manager identifies, evaluates and provides management of services for patients with complex, catastrophic, long term illness or injury, mental/chemical health, and/or psychosocial issues. To promote quality, effective outcomes throughout the care continuum, the Case Manager will utilize disease management knowledge, along with evidence-based clinical care, to administer all facets of the case management process including assessment, planning, development of care plans, implementation of the plan of care, coordination and oversight of services, and evaluation of options and resources. The Case Manager acts as a member advocate through coordination and collaboration on care needs working with primary care physicians, specialists, members and their families, and community providers. The position responsibilities also include an understanding of the impact of social determinants of health and other psychosocial needs resulting in quality, cost-effective care.

• Identification of members who will benefit from case management support
• Utilization of evidence-based clinical practices to manage member needs, situations, strengths and resources to meet identified goals
• Development of a plan of care focused on improving overall well-being, assuring use of evidence-based criteria throughout the continuum of care
• Understanding and planning to assure services provided work within the boundaries of the member’s plan eligibility
• Engagement in ongoing timely professional collaboration and communication with the member, member's family and/or caregivers and healthcare providers according to member's healthcare needs to enhance positive outcomes
• Research and refer members to community resources (i.e., food insecurities, child care, mental health/chemical health support)
• Provide assistance to support the application of benefits assuring maximization of benefits to support identified needs
• Perform ongoing essential case management activities of reassessment, problem identification, planning, implementation, coordination, monitoring, and evaluation of case managed members
• Establish and maintain rapport with providers as well as ongoing education of providers concerning appropriate protocol
• Facilitate negotiations for out of network care
• Collaborate with all other departments as appropriate and required to facilitate the completion of tasks/goals
• Perform telephonic communication with members in case management according to member needs and within Department of Defense contractual time frames
• Facilitate patient wellness and autonomy through advocacy, communication, education, and identification of service resources
• Identification of appropriate providers and facilities, assuring that available resources are being used in a timely and cost effective manner
• Maintain quality documentation of collected data, actions taken, and results of actions taken in order to promote continuity of care within governmental and contractual requirements
• Identify and present all cases of possible quality deviation, questionable admissions and out of network services to physician for review and recommendation
• Analyze and present data related to medical services for cost containment
• Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
• Adhere to NCQA and URAC standards

Requirements:

• Graduate of an accredited Registered Nursing program, Bachelor’s Degree required, Master’s degree preferred.
• Case Management Certification through an accredited organization required.
• Program management experience, including management of multiple projects at one time.
• Demonstrated organizational, time management, prioritization and team work skills.
• Analytic ability to prepare and present status reports and document procedures.
• Excellent communication skills, judgment, initiative, critical thinking and problem solving abilities.
• Ability to handle and resolve complex issues.
• Basic knowledge of computer systems; good typing skills.
• Excellent customer service skills.
• Excellent negotiation skills.
• Minimum five years of diverse clinical experience as a Registered Nurse.
  
• Minimum three years in the role of case/utilization manager.
• Five years of experience working with evidence based guidelines.
• Three years of experience independently managing patients providing clinical guidance.
• Three years of experience working with care providers to develop and manage plans of care.
• Three years of program/project management experience focused on patient care.
• Current/Active Texas RN Licensure.
• Additional RN certification in Chronic Care or Specialty Care preferred.

Work Type: 

Full Time

Summary:

The Registered Nurse Case Manager identifies, evaluates and provides management of services for patients with complex, catastrophic, long term illness or injury, mental/chemical health, and/or psychosocial issues. To promote quality, effective outcomes throughout the care continuum, the Case Manager will utilize disease management knowledge, along with evidence-based clinical care, to administer all facets of the case management process including assessment, planning, development of care plans, implementation of the plan of care, coordination and oversight of services, and evaluation of options and resources. The Case Manager acts as a member advocate through coordination and collaboration on care needs working with primary care physicians, specialists, members and their families, and community providers. The position responsibilities also include an understanding of the impact of social determinants of health and other psychosocial needs resulting in quality, cost-effective care.

• Identification of members who will benefit from case management support
• Utilization of evidence-based clinical practices to manage member needs, situations, strengths and resources to meet identified goals
• Development of a plan of care focused on improving overall well-being, assuring use of evidence-based criteria throughout the continuum of care
• Understanding and planning to assure services provided work within the boundaries of the member’s plan eligibility
• Engagement in ongoing timely professional collaboration and communication with the member, member's family and/or caregivers and healthcare providers according to member's healthcare needs to enhance positive outcomes
• Research and refer members to community resources (i.e., food insecurities, child care, mental health/chemical health support)
• Provide assistance to support the application of benefits assuring maximization of benefits to support identified needs
• Perform ongoing essential case management activities of reassessment, problem identification, planning, implementation, coordination, monitoring, and evaluation of case managed members
• Establish and maintain rapport with providers as well as ongoing education of providers concerning appropriate protocol
• Facilitate negotiations for out of network care
• Collaborate with all other departments as appropriate and required to facilitate the completion of tasks/goals
• Perform telephonic communication with members in case management according to member needs and within Department of Defense contractual time frames
• Facilitate patient wellness and autonomy through advocacy, communication, education, and identification of service resources
• Identification of appropriate providers and facilities, assuring that available resources are being used in a timely and cost effective manner
• Maintain quality documentation of collected data, actions taken, and results of actions taken in order to promote continuity of care within governmental and contractual requirements
• Identify and present all cases of possible quality deviation, questionable admissions and out of network services to physician for review and recommendation
• Analyze and present data related to medical services for cost containment
• Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
• Adhere to NCQA and URAC standards   

Requirements:

• Graduate of an accredited Registered Nursing program, Bachelor’s Degree required, Master’s degree preferred.
• Case Management Certification through an accredited organization required.
• Program management experience, including management of multiple projects at one time.
• Demonstrated organizational, time management, prioritization and team work skills.
• Analytic ability to prepare and present status reports and document procedures.
• Excellent communication skills, judgment, initiative, critical thinking and problem solving abilities.
• Ability to handle and resolve complex issues.
• Basic knowledge of computer systems; good typing skills.
• Excellent customer service skills.
• Excellent negotiation skills.
• Minimum five years of diverse clinical experience as a Registered Nurse.
• Minimum three years in the role of case/utilization manager.
• Five years of experience working with evidence based guidelines.
• Three years of experience independently managing patients providing clinical guidance.
• Three years of experience working with care providers to develop and manage plans of care.
• Three years of program/project management experience focused on patient care.
• Current/Active Texas RN Licensure.
• Additional RN certification in Chronic Care or Specialty Care preferred.

Work Type: 

Full Time

Summary:

The Registered Nurse Case Manager identifies, evaluates and provides management of services for patients with complex, catastrophic, long term illness or injury, mental/chemical health, and/or psychosocial issues. To promote quality, effective outcomes throughout the care continuum, the Case Manager will utilize disease management knowledge, along with evidence-based clinical care, to administer all facets of the case management process including assessment, planning, development of care plans, implementation of the plan of care, coordination and oversight of services, and evaluation of options and resources. The Case Manager acts as a member advocate through coordination and collaboration on care needs working with primary care physicians, specialists, members and their families, and community providers. The position responsibilities also include an understanding of the impact of social determinants of health and other psychosocial needs resulting in quality, cost-effective care.

• Identification of members who will benefit from case management support
• Utilization of evidence-based clinical practices to manage member needs, situations, strengths and resources to meet identified goals
• Development of a plan of care focused on improving overall well-being, assuring use of evidence-based criteria throughout the continuum of care
• Understanding and planning to assure services provided work within the boundaries of the member’s plan eligibility
• Engagement in ongoing timely professional collaboration and communication with the member, member's family and/or caregivers and healthcare providers according to member's healthcare needs to enhance positive outcomes
• Research and refer members to community resources (i.e., food insecurities, child care, mental health/chemical health support)
• Provide assistance to support the application of benefits assuring maximization of benefits to support identified needs
• Perform ongoing essential case management activities of reassessment, problem identification, planning, implementation, coordination, monitoring, and evaluation of case managed members
• Establish and maintain rapport with providers as well as ongoing education of providers concerning appropriate protocol
• Facilitate negotiations for out of network care
• Collaborate with all other departments as appropriate and required to facilitate the completion of tasks/goals
• Perform telephonic communication with members in case management according to member needs and within Department of Defense contractual time frames
• Facilitate patient wellness and autonomy through advocacy, communication, education, and identification of service resources
• Identification of appropriate providers and facilities, assuring that available resources are being used in a timely and cost effective manner
• Maintain quality documentation of collected data, actions taken, and results of actions taken in order to promote continuity of care within governmental and contractual requirements
• Identify and present all cases of possible quality deviation, questionable admissions and out of network services to physician for review and recommendation
• Analyze and present data related to medical services for cost containment
• Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
• Adhere to NCQA and URAC standards

Requirements:

• Graduate of an accredited Registered Nursing program, Bachelor’s Degree required, Master’s degree preferred.
• Case Management Certification through an accredited organization required.
• Program management experience, including management of multiple projects at one time.
• Demonstrated organizational, time management, prioritization and team work skills.
• Analytic ability to prepare and present status reports and document procedures.
• Excellent communication skills, judgment, initiative, critical thinking and problem solving abilities.
• Ability to handle and resolve complex issues.
• Basic knowledge of computer systems; good typing skills.
• Excellent customer service skills.
• Excellent negotiation skills.
• Minimum five years of diverse clinical experience as a Registered Nurse.
  
• Minimum three years in the role of case/utilization manager.
• Five years of experience working with evidence based guidelines.
• Three years of experience independently managing patients providing clinical guidance.
• Three years of experience working with care providers to develop and manage plans of care.
• Three years of program/project management experience focused on patient care.
• Current/Active Texas RN Licensure.
• Additional RN certification in Chronic Care or Specialty Care preferred.

Work Type: 

Full Time

Description

RN Registered Nurse Emergency Room

Medical City Las Colinas

Qualifications

• Associates or Bachelor of Science in Nursing
• Minimum 1 year recent experience in an Emergency Room unit are necessary to be considered for this role

• Must have current or compact licensure in the state of Texas  
• Healthcare Provider BLS and ACLS

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking 

privacy@hcahealthcare.com

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

Description

Qualifications

Minimum Qualifications to be considered

Required education:

• Diploma/Certificate

Required experience:

• Nursing: 3 years
• ICU experience of at least  2 years

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking 

privacy@hcahealthcare.com

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

• Promote the mission, vision, and values of SCA.
• Assess patient's preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patient's
  • cardiovascular system,
  • respiratory system and airway management needs,
  • neurological system,
  • hemodynamic stability,
  • pain and comfort needs, and
  • mental status.
• Interpret information accurately from various noninvasive and invasive monitors.
• Describe the underlying pathophysiology of commonly encountered disease processes.
• Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions.
• Apply the relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score [i.e., PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy.
• Develop an individualized perianesthesia plan of care.
• Implement the plan of care including the following interventions:
  • Preparing for and managing patient recovery from anesthesia - general.
  • Preparing for and managing patient recovery from anesthesia - monitored anesthesia care.
  • Preparing for and managing patient recovery from anesthesia - regional.
  • Preparing for and managing patient recovery from anesthesia - local.
  • Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects.
  • Communicating the patient's current status throughout the perianesthesia continuum of care.
  • Providing acute pain and comfort management as needed.
  • Administering medications safely and correctly by using the 8-rights of safe medication administration.
  • Performing interventions to maintain the integrity of the patient's wound and tissue perfusion at or above baseline levels.
  • Performing interventions to maintain the status of the patient's genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels.
  • Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.
  • Performing interventions to protect patient from infection.
  • Managing patient's other co-morbid conditions as applicable.
  • Managing patient's fluid as prescribed.
  • Assessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure;
  • Involving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process.
  • Protecting patient's rights, dignity, and privacy.
  • Providing age-specific, culturally competent, ethical care within legal standards of practice; and
  • Providing consistent and comparable care regardless of the setting.
• Evaluate the patient's progress toward attaining outcomes.
• Transfer care as needed.
• Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient's condition and response to care.
• Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions.
• Document nursing care completely, accurately, and legibly.
• Collaborate effectively with other disciplines as needed.
• Participate in quality review and performance improvement projects.
• Participate in the performance appraisal process.
• Use problem-solving and conflict resolution skills to foster effective work relationships with team members.
• Maintain required competencies.
• Pursue professional growth.
• Act as a patient advocate and maintain privacy and confidentiality of individuals and health information.
• Comply with all facility policies and procedures when providing patient care.
• Actively participate in team meetings, trainings, and daily safety huddles.
• Demonstrate fiscal responsibility.
• Perform all other duties as assigned.

• Graduate of an Accredited School of Nursing.
• One year of OR and/or medical / surgical nursing experience preferred.
• Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification.
• Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification.
• Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification.
• Specialty certification in Perioperative or perianesthesia Nursing is preferred.

• Physically demanding, high-stress environment
• Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions
• Pushing and pulling heavy objects
• Full range of body motion including handling and lifting patients and equipment
• Manual and finger dexterity
• Hand eye coordination
• Standing and walking for extensive periods of time
• Lifting and carrying items weighing up to 50 lbs
• Corrected vision and hearing to within normal range
• Working irregular hours

PI130187269

Description

RN Registered Nurse Emergency Room

Medical City Las Colinas

Qualifications

• Associates or Bachelor of Science in Nursing
• Minimum 1 year recent experience in an Emergency Room unit are necessary to be considered for this role

• Must have current or compact licensure in the state of Texas  
• Healthcare Provider BLS and ACLS

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking 

privacy@hcahealthcare.com

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

Overview

SCA, a leader in the outpatient surgery industry, strategically partners with health plans, medical groups and health systems across the country to develop and optimize surgical facilities. SCA operates more than 210 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 7,500 physicians. For more information on SCA, visit www.scasurgery.com.

Accountabilities / Responsibilities

We are actively hiring for a Registered Nurse (RN) PreOp PACU.

• Promote the mission, vision, and values of SCA. 
• Assess patient’s preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patient’s 
  • cardiovascular system, 
  • respiratory system and airway management needs, 
  • neurological system, 
  • hemodynamic stability, 
  • pain and comfort needs, and 
  • mental status. 
• Interpret information accurately from various noninvasive and invasive monitors. 
• Describe the underlying pathophysiology of commonly encountered disease processes. 
• Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions. 
• Apply the relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score [i.e., PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. 
• Develop an individualized perianesthesia plan of care.  
• Implement the plan of care including the following interventions: 
  • Preparing for and managing patient recovery from anesthesia – general. 
  • Preparing for and managing patient recovery from anesthesia – monitored anesthesia care. 
  • Preparing for and managing patient recovery from anesthesia – regional. 
  • Preparing for and managing patient recovery from anesthesia – local. 
  • Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects. 
  • Communicating the patient’s current status throughout the perianesthesia continuum of care. 
  • Providing acute pain and comfort management as needed. 
  • Administering medications safely and correctly by using the 8-rights of safe medication administration.  
  • Performing interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels. 
  • Performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels. 
  • Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. 
  • Performing interventions to protect patient from infection. 
  • Managing patient’s other co-morbid conditions as applicable. 
  • Managing patient’s fluid as prescribed. 
  • Assessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure; 
  • Involving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process. 
  • Protecting patient’s rights, dignity, and privacy. 
  • Providing age-specific, culturally competent, ethical care within legal standards of practice; and 
  • Providing consistent and comparable care regardless of the setting. 
• Evaluate the patient’s progress toward attaining outcomes. 
• Transfer care as needed.  
• Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care.  
• Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions.  
• Document nursing care completely, accurately, and legibly. 
• Collaborate effectively with other disciplines as needed. 
• Participate in quality review and performance improvement projects. 
• Participate in the performance appraisal process. 
• Use problem-solving and conflict resolution skills to foster effective work relationships with team members. 
• Maintain required competencies. 
• Pursue professional growth. 
• Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. 
• Comply with all facility policies and procedures when providing patient care. 
• Actively participate in team meetings, trainings, and daily safety huddles. 
• Demonstrate fiscal responsibility. 
• Perform all other duties as assigned.  

Qualifications

• Graduate of an Accredited School of Nursing. 
• One year of OR and/or medical / surgical nursing experience preferred. 
• Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification. 
• Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification.  
• Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification.  
• Specialty certification in Perioperative or perianesthesia Nursing is preferred.

Working Conditions/Physical Requirements:  

• Physically demanding, high-stress environment 
• Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions 
• Pushing and pulling heavy objects  
• Full range of body motion including handling and lifting patients and equipment 
• Manual and finger dexterity  
• Hand eye coordination 
• Standing and walking for extensive periods of time  
• Lifting and carrying items weighing up to 50 lbs 
• Corrected vision and hearing to within normal range 
• Working irregular hours  

As a representative of Surgical Care Affiliates, all comments, attitudes, actions, and behaviors have a direct impact on the Facility’s success. Interaction with patients, families, physicians, referral sources, affiliated schools, visitors, volunteers, co-workers, supervisors, vendors, etc. must be in a manner that is friendly, supportive, courteous, respectful, cooperative, and professional. This behavior should promote an atmosphere of teamwork, a culture of safety, and in accordance with SCA Core Values.  

EEO Statement

We value Diversity, Inclusion, and Belonging at Surgical Care Affiliates: SCA is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, national origin, disability and genetic information, or any other characteristic protected by law.  

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.