Case Manager
About The Position
The Case Manager (CM) is responsible for the development and implementation of effective and on-going Case Management Utilization Review, Discharge Planning Process, and assisting with Quality Improvement Initiative Projects and Quality Improvement/Clinical Education programs; Responsible for the efficient and competent case management of observations, inpatient and swingbed patients. Develops policies and procedures for areas of responsibility as needed. The CM is also responsible for filling in vacant positions that fall within the nurse practice act for registered nurses/ licensed practical nurses and will rotate with other nurses and management team members as on-call nurse to assist and cover the needs of all nursing departments. The CM is responsible for the timely review and submission of Observation charges. The CM is responsible for excellent communication and management of resources and upholding excellent clinical standards of care.
Requirements
- A Florida licensed Registered Nurse
- Minimum 2 years acute care nursing or skilled nursing facility experience
- One year Utilization Review/Case Management/ insurance verification /authorization Experience required
- Current CPR, ACLS and PALS certification (ACLS within three months of hire date and PALS within six months)
- Excellent written, computer, and verbal communication skills with a strong ability to comprehend and follow provider orders for safe patient
- Excellent interpersonal skills with the ability to interact effectively and professionally with people at all socio-economic and organizational levels
- A hands-on approach to duties
- Excellent organizational skills
- Excellent internal and external customer service skills
Nice To Haves
- Certification in Case Management preferred
Responsibilities
- Development and implementation of effective and on-going Case Management Utilization Review
- Discharge Planning Process
- Assisting with Quality Improvement Initiative Projects and Quality Improvement/Clinical Education programs
- Efficient and competent case management of observations, inpatient and swingbed patients
- Develops policies and procedures for areas of responsibility as needed
- Filling in vacant positions that fall within the nurse practice act for registered nurses/ licensed practical nurses
- Rotate with other nurses and management team members as on-call nurse to assist and cover the needs of all nursing departments
- Timely review and submission of Observation charges
- Excellent communication and management of resources
- Upholding excellent clinical standards of care
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
