Registered Nurse (RN) Case Manager

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POST DATE 9/13/2016
END DATE 11/15/2016

HCA Healthcare Texas City, TX

Texas City, TX
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Entry Level (0 - 2 years)
Associates Degree


Job Code: 06218-68015


Days (rotating weekends)



Founded in 1952, MAINLAND MEDICAL CENTER has been part of Galveston County for more than 55 years. Originally a 90-bed hospital, we have grown to a 223 bed acute care facility offering quality, compassionate care with state-of-the-art services. Our services include inpatient and outpatient medical, surgical and specialty services.

Mainland Medical Center is part of the HCA Gulf Division, a comprehensive network of hospitals, outpatient surgery centers, emergency centers, cancer centers, and diagnostic imaging facilities. It offers a complete continuum of specialized health programs and services that meet the needs of Greater Houston and South Texas residents and businesses. Our growth is truly a reflection of the changing needs of our community, our patients and rapidly advancing medical technology. Our services include:

* Breast Care Center

* Cardiovascular Services

* Center for Sleep Disorders

* Center for Wound Care and Hyperbaric Medicine

* Emergency Services

* Level II Neonatal Intermediate Care Unit

* Occupational Health and Wellness

* Senior Mental Health

* Women s Services

MAINLAND MEDICAL CENTER is currently looking for a CASE MANAGER (RN).


* Applies problem-solving techniques to the Case Manager process.

* Assesses variables that impact on health and functioning.

* Interprets clinical information and assess implication for treatment.

* Develops an individualized case management plan that addresses singular physical, vocational, psychosocial, financial and educational needs.

* Understands insurance policy language.

* Presents various health care options.

* Documents Case Management activities.

* Maintains familiarity with disease processes available resources and treatment modalities, assessing their quality and appropriateness for specific disabilities, illnesses and injuries.

* Adheres to and complies with HCA's ethics and compliance policies and procedures in the Code of Conduct. Attends annual training sessions.


* At least 1 year experience as a case manager in a healthcare setting preferred.

* Current Texas RN licensure.

* Knowledge of accreditation and regulatory standards.

* Interpersonal skills in working with physicians, healthcare professionals, patients and families.

* Possess working knowledge of utilization review, case management and DRGs.

* Demonstrate knowledge of commercial insurance requirements/criteria for indications of hospitalization.

* Requires working in a fast-paced setting and self-motivated.

Associate's Degree/College Diploma

Last Edited: 05/25/2016