Case Manager Registered Nurse - Full Time

University of Miami•Miami, FL

1d•Onsite

About The Position

The Case Manager Registered Nurse coordinates the interdisciplinary plan of care for patients from admission through discharge. The role monitors care and serves as a liaison among patients, families, healthcare personnel, and insurers. It evaluates patient needs and available resources, recommends and facilitates plans to achieve the best outcomes, and develops discharge plans that address ongoing needs and encourage compliance with medical advice. The Case Manager RN identifies care issues, patient risk factors, and obstacles to care, discharge, or readmission. The role evaluates care plans through chart review and patient interviews, collaborates with the medical team to support patient progression through the system, and educates patients and families about the progression of care. It promotes appropriate, high-quality and fiscally responsible services, facilitates continued-stay insurance authorization and regulatory notifications, and maintains knowledge of insurance reimbursement policies. It also plans and facilitates discharge and transition plans that meet patients’ physical, social, and emotional needs. The position follows University and unit-level policies and procedures and safeguards University assets; duties may be expanded as necessary. This is a full-time staff position at UHealth Tower. The University of Miami offers competitive salaries and a comprehensive benefits package, including medical, dental, and tuition remission.

Requirements

Graduate of an accredited school of nursing.
Bachelor’s degree in nursing (BSN).
Valid Florida Registered Nurse license.
Basic Life Support (BLS) certification from the American Heart Association.
Minimum of 2 years of relevant experience.
At least 1 year in hospital case management/nursing.
Working knowledge of patient assessment and medical terminology.
Ability to communicate effectively orally and in writing.
Ability to recognize, analyze, and solve a variety of problems.
Ability to analyze, organize, and prioritize work under pressure while meeting deadlines.
Ability to maintain effective interpersonal relationships.

Responsibilities

Coordinate the interdisciplinary plan of care for patients from admission to discharge.
Monitor patient care and act as a liaison among patients, families, healthcare personnel, and insurers.
Evaluate patient needs and available resources, and recommend and facilitate plans for the best outcomes.
Develop discharge plans using available resources to meet ongoing patient needs and encourage compliance with medical advice.
Identify patient care issues and suggest revisions to or development of clinical pathways to improve care quality.
Identify patient risk factors and obstacles to care, discharge, and readmission.
Evaluate care plans regularly through chart review and patient interviews.
Collaborate with the medical team to facilitate patients’ progression through the healthcare system.
Educate patients and families about the progression of care.
Promote quality care and ensure patients receive medically appropriate services in appropriate status and stay standards.
Facilitate ongoing insurance authorization for continued stays.
Facilitate regulatory notifications and patient signatures according to policy.
Maintain knowledge of insurance reimbursement policies.
Plan and facilitate discharge and transition plans that meet patients’ physical, social, and emotional needs.
Follow University and unit-level policies and procedures and safeguard University assets.