Registered Nurse Case Manager Observation

Company: St. David's Healthcare
Location: Cedar Park
Posted on: February 16, 2026

Job Description:

As the nation’s largest private employer of Registered Nurses, we’re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice. That’s why more than 80% of our hospitals earn an A or B Leapfrog safety grade, rank in the top 5% nationally for patient outcomes through Health Grades, or are recognized as Magnet or Pathway to Excellence facilities. Join us! It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) Registered Nurse Case Manager Observation. We want your knowledge and expertise! 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: - Provides case management services for both inpatient and observation patients as assigned. - Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another. - Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family. - Reassesses the patient’s clinical condition as indicated. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate, including education on appropriately accessing healthcare resources, preventative education, and community based resources. - Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and with the patient's physician to facilitate a successful care transition. - Partners with Social Services to ensure the post-acute medical needs and level of care are appropriate. - Assumes responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified. - Involves patient and family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals. - Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command. - Makes appropriate referrals to third party payer and disease and case management programs for recurring patients and patients with chronic disease states. - Facilitates patient throughput with an ongoing focus on an effective care transition, quality, and efficiency. - Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team. - Aligns patient needs with available resources to ensure a safe discharge/transition. - Acts as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies. - Seeks ways to control costs without compromising patient safety, quality of care, or the services delivered. - Directs activities to identify and provide for the needs of the under-resourced patient population, including patient education activities, patient assistance programs, and community-based resources, - Participates in performance improvement activities, including identifying, documenting, and intervening when avoidable days occur. - Adheres to established policy and procedure and standards of care; escalates issues promptly through the established chain of command. - Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives. Serves as an advocate for patient's rights, needs, and values; ensures that patients’ ethnic, cultural, or religious values, beliefs, preferences, and needs are considered and aligned. - Performs other duties as assigned. - Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.” 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 Or equivalent combination of education and/or experience Licensure, Certifications, Training: Credential*: - 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. {{"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}} St. David’s HealthCare, which is oneof 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 twolocal 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 thedelivery of charitable care, uninsured discounts, and other uncompensated expenses. Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Registered Nurse Case Manager Observation opening. Submit your application today and help advance the practice of nursing. 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.

Keywords: St. David's Healthcare, Cedar Park , Registered Nurse Case Manager Observation, Healthcare , Cedar Park, Texas