Registered Nurse Case Manager Observation

As a Registered Nurse Case Manager Observation, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.

Job Summary and Qualifications

The Observation RN CM is responsible for progressing the care for Observation patient and ensures progression of care by reviewing the case promptly and applying IP IQ criteria. The Observation RN CM adheres to HCA standards regarding observation management. In addition, the Observation RN CM will be responsible for adhering to the 2 Midnight Process. The Observation RN CM works closely with the physician by monitoring the case and keeping the physician abreast of findings so appropriate and timely decisions can be made to admit or discharge the patient. When the observation CM identifies barriers that prevent progression, the Observation RN CM will directly intervene to remove the barrier. If the Observation RN CM cannot remove the barrier, the Observation RN CM will escalate the situation to the facility Director of Case Management who will advise on next steps (e.g., contact CMO, CNO, PA). The Observation RN CM is responsible for identification of observation patients with discharge planning needs that could lead to poor outcomes or a return to the hospital. If the Observation RN CM encounters such a patient, the Observation RN CM assumes responsibility for referring to the inpatient RN CM/Social Worker, who will complete a discharge planning evaluation and/or a psychosocial assessment and assume the transition of care. The Observation RN CM coordinates activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. 

Your responsibilities will include:

• Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights 

• Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences 

• Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals 

• Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team 

• Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care 

• Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction 

What qualifications you will need:

Education & Experience: 

• Associate Degree in Nursing or Nursing Diploma Required
• Bachelor’s Degree in Nursing Preferred 
• 2+ years experience in case management OR 3+ years experience in clinical nursing Required 
• InterQual experience Preferred 

Licensure, Certifications, Training:

• Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation. Required
• Certification in Case Management Preferred

Benefits

St. David's Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future."

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC

Senior Vice President and Chief Nurse Executive

HCA Healthcare

St. David’s HealthCare, which is one of the largest healthcare systems in Texas and the third-largest employer in the Austin area. St. David’s HealthCare was formed through a unique partnership between HCA Healthcare and two local non-profits — St. David’s Foundation and Georgetown Health Foundation.

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.

If this opportunity is your next step in your career path, we encourage you to apply for our Registered Nurse Case Manager Observation opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing, apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.