Meet Case Management Manager Hillary Calderon: Care Coordination Crucial to Achieving Better Outcomes, Costs

Thursday, May 10th, 2012
This post was written by Cheryl Miller

This month we provide an inside look at a healthcare case management manager, the choices she made on the road to success, and the challenges ahead.

Hillary Calderon, RN, Senior Manager of Corporate Case Management for HCA

HIN: Tell us a little about yourself and your credentials.

Hillary Calderon: I have been a director of case management for over 16 years. I worked for (now Vanguard-owned) Baptist Hospital in San Antonio for nine years, and then transitioned to an HCA-owned facility in San Antonio, Northeast Methodist Hospital. I am an RN, working on my master’s degree.

What was your first job out of college and how did you get into case management?

I actually was working as a unit secretary (as my degree was in home economics). I then went to nursing school and worked as a telenurse for five years. The case management department was in its infancy and I helped bring it to fruition. We went through many changes; it was a good opportunity and I wanted to be challenged to start a new restructuring in the field.

Has there been a defining moment in your career? Perhaps when you knew you were on the right road?

Well, many. Making a difference for patients and now making a difference with case managers that are making a difference. I am thankful that I have the opportunity to assist case management departments in creating a process that will meet corporate and CMS requirements. It seems like when I question my way, it comes back as the correct road for me to be on. I love this, so it is not work for me!

In brief, describe your organization.

HCA- Hospital Corporation of America. We currently have over 170 hospitals (and growing) across the nation. Great company to work for!

What are two or three important concepts or rules that you follow in case management?

  • Keep focused on your goals. The goals should be patient and family first. Right plan for the patient/family.
  • Remember what is in scope for you to do. Do what you can, concentrate on that. Don’t get caught up in “extra” duties as assigned, unless it pertains to your goal (see first item)
  • What is the single most successful thing that your organization is doing now?

    Focusing on initiatives, quality driven and clinical excellence.

    Do you see a trend or path that you have to lock onto for 2012?

    Care coordination. A must for healthcare to achieve better outcomes and cost containments.

    What is the most satisfying thing about being a case manager?

    The knowledge base, the liaison role that a case manager has in communicating with the patient, family, administration, payors and post-acute providers. Problem solving, it’s like a puzzle!

    Where did you grow up?

    Grew up in Dallas (early years), then San Antonio the rest of my years.

    What college did you attend? Is there a moment from that time that stands out?

    East Texas State University… no not really a moment in time. I was a member of the Gamma Phi Beta Sorority. Loved that!

    Are you married? Do you have children?

    Married, three daughters… 21, 25, and 28. No grandkids, and they are all three single!

    What is your favorite hobby and how did it develop in your life?

    I love, love, love gardening. I have always loved the outdoors and creating landscapes. I also love to paint (watercolor and acrylic).

    Is there a book you recently read or movie you saw that you would recommend?

    Last book I read was “The Help.” I am last at reading the trends. I am in the process of reading “The Hunger Games.” Last movie I saw was “The Artist,” this year’s Oscar winner. Loved it!

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