Medical Management Manager jobs in Austin, TX

Introduction

We are seeking a(an) Manager of Case Management RN with St. David's South Austin Medical Center to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us!

Benefits

St. David's South Austin 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 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.

We are seeking a(an) Manager of Case Management RN for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us!

Job Summary and Qualifications

The Manager of Case Management works in conjunction with other members of the interdisciplinary care team using a proactive approach to facilitate effective and efficient patient care during the hospital stay. The Manager of Case Management demonstrates initiative and self-direction in managing and providing oversight for the Case Management and Social Services Departments. This position is a working management position; the Manager of Case Management will perform all functions of Case Management in addition to supervising and ensuring staffing in the departments.

• You will facilitate effective and efficient patient care during the hospital stay. Face-to-face visit with patients and/or family members for comprehensive assessment for discharge needs taking into account the patient's needs, current and prospective functional capacities, resources and support systems.
• You will follow-up visits and phone calls with patients and/or families as needed
• You will review patient charts to insure appropriate utilization of hospital resources and facilities
• You will provision clinical information to 3rd party payers in support of the patient's admission and/or continued hospital stay
• You will have active communication with the physicians regarding issues such as length of stay, admission and/or treatment criteria, and how to render services in the most cost effective setting
• You will assess patient’s needs, current and prospective functional capacities, resources and support systems.
• You will collaborate the formulation of appropriate and realistic patient-centered discharge plans including the arrangement of any necessary follow-up services such as durable medical equipment, home health and/or placement
• You will advocate in support of the patient’s right to self-determination
• You will act as a liaison between patients, families, visitors, physicians, SDSAMC staff and/or other community service providers
• You will provide community information and referrals
• You will have thorough and timely documentation regarding the patient’s problems, goals, plans and/or relevant case management interventions
• You will participate in and/or facilitate interdisciplinary care conferences
• You will prepare and review data analyses related to the effective of services: length of stay, avoidable days, reimbursement, resource utilization, and variances.
• You will be the liaison between senior hospital management and departmental staff to communicate facility and departmental goals.
• You will maintain regular and candid communication with the director to advise of departmental priorities and challenges and to recommend improvements.
• You will provide oversight and direction of department operations.
• You will direct concurrent reviews to ensure timeliness and accuracy and intervenes when patients do not meet medical necessity. Oversee and monitors processes to manage and respond to denials.
• You will be able to assist department with workload changes as appropriate and necessary to meet patient and facility demands.
• You will participate in annual budgeting process and monitors departmental adherence.
• You will assist the director with employee performance evaluations, counseling, and interview process.

What qualifications you will need:

• Basic Cardiac Life Support
• Currently licensed as a registered professional nurse in the state(s) of practice and/or has an active compact license, in accordance with law and regulation. Required within 90 days of hire.
• Graduate of an accredited School of Nursing
  
• Bachelor's Degree in Nursing preferred
• Master's Degree preferred
• 5 years experience in Case Management in an acute care setting preferred
• 2 years experience in a supervisory/management role

St. David's South Austin Medical Center, which is part of St. David's HealthCare. We are a 368-bed acute care facility offering a range of complex specialties and sub-specialties. Our services include a nationally accredited oncology program with the area's only adult Transplant and Cellular Therapy Program; advanced trauma care with a Level II trauma center; comprehensive cardiac, stroke and orthopedic programs; full-service maternity and newborn care; and two full-service emergency centers in the communities of Bee Cave and Bastrop. St. David's South Austin Medical Center is affiliated with the Texas Institute for Robotic Surgery. We offer advanced robotic services for orthopedics, open heart and lung surgery, complex GI surgery, surgical oncology, general surgery, colorectal surgery, and urology. It was one of the first hospitals in Central Texas to combine the use of CT imaging and robotics to detect early stage lung cancer.

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.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.

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.