RN Case Manager - FT - Days - $10K Sign on Bonus - MRH
About The Position
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.
Requirements
- Accredited Program: Nursing (Required)
- BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS American Heart RQI E-Card (BLS AHA-RQI 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)
- Minimum one (1) year of experience in a hospital-based Case Management practice or five (5) years in Healthcare.
- Graduate of an accredited Registered/Professional Nursing Program.
- Basic Life Support (BLS) Healthcare Provider required upon hire.
- 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.
Responsibilities
- Works with attending/ED medical staff to assign appropriate designation.
- Provides discharge planning which focuses on the identification of available services or options for placement for ED patients.
- Identifies high risk patients who are greater risk for recurrent visits to the ED.
- Works with multi-visit patients to offer resources in the community and/or refer to ED Social Work for referrals to social service organizations.
- Performs utilization management responsibilities focused on determination of appropriate admission status utilizing criteria-based review and provision of resources and education to the healthcare team.
- Assigns appropriate admitting status: place in observation vs.admit.
- Works to support appropriate medical record documentation.
- Develops working relationships with community health resources to improve outpatient access to healthcare for ED population.
- Tracks clinic patients/frequency of ED use for non-acute care.
- Provides clinic patients options for future non-acute care.
- Tracks barriers to clinic access.
- Screens all ED patients with potential for admission identifying payer source.
- Provides support for other entry points as indicated, which includes: Responding to requests about status in the PACU, and supporting the Care Coordination Center in decision making regarding acute care transfers and direct admits.
- Identifies and addresses patients with frequent ED use for non-urgent care or patients with high hospital admission rates.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
