Location:
Miramar, Florida
We have an outstanding reputation for providing patient- and family-centered care that exceeds all expectations. Together, we have created an award-winning, nationally-recognized system where every effort is focused on delivering Deeper Caring and Smarter Healthcare throughout our communities. Career opportunities exist on diverse teams across our many facilities where you can search open positions and apply online to join #teamMHSflorida.
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Summary:
The RN Case Manager coordinates the care and service of patient populations from admission through discharge. The RN Case Manager, collaboratively with inter-disciplinary teams, works to build a comprehensive case management plan through effective care coordination and utilization of healthcare resources to achieve desired clinical and financial goals. Key responsibilities are to partner with the healthcare team to ensure all aspects of the patient's needs, clinical, psychosocial, and financial are adequately addressed in the transition of the care plan and to manage the patient's timely progression of care and safe transition to the next most appropriate level of care.
This individual will be working in the in the Emergency Department (ED) with some weekends requirements. The hours of operations would be 1pm to 9pm with subject to change based on departmental needs
Responsibilities:
Performs ongoing chart review to identify actual or potential issues, which may include service delivery, patient outcomes, and satisfaction, compliance, cost, and reimbursement.Participates in discharge planning, including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients.Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payers regarding care.Makes appropriate referrals to Social Workers and identifies appropriate hospice candidates and communicates with a physician regarding options.Consults with Physicians' and multidisciplinary teams regularly to evaluate the patient's status and appropriateness of medical care, including admission, length of stay, transfer, and discharge.May collect and assesses data to identify quality trends or actual sources of risk to patients and employees. Collaborates with multidisciplinary team and committees concerning quality outcomes.
Competencies:
ACCOUNTABILITY, ANALYSIS AND DECISION MAKING, CLINICAL POLICIES AND STANDARDS, CUSTOMER SERVICE, DISCHARGE PLANNING CLINICAL EFFECTIVENESS, PATIENT AND FAMILY CENTERED CARE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK
Education and Certification Requirements:
Accredited Program: Nursing (Required)BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART), BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS), Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)
Additional Job Information:
Complexity of Work: This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Must be able to provide education and resources relevant to the effective progression of care, utilization of services, appropriate level of care, and safe patient transition to the patient/family and health care team. Required Work Experience: Minimum one (1) year of experience in a hospital-based Case Management practice or five (5) years in Healthcare. Other Information: Additional Education Info: Graduate of an accredited Registered/Professional Nursing Program.Additional Credential Info: Basic Life Support (BLS) Healthcare Provider required upon hire.
Working Conditions and Physical Requirements:
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