Case Manager RN, Case Management, Full Time, Days, Jackson South

About the position

Case Manager RN is a professional member of the health care team who has 24/7 accountability for the coordination, monitoring and management of patient care resources to promote the most efficient delivery of patient care services at the appropriate level of care while maintaining a single high standard of care delivery to all patients. The Case Manager RN acts as a resource to all levels of staff in defining/educating/implementing and evaluating patient care and nursing practice standards utilizing the nursing process, current concepts/principles of case management/utilization management/disease management, education, quality improvement, clinical practice and health care trends.

Responsibilities

• Assess complex patient care needs/situation/acuity levels obtaining significant data from assessments (physical/functional, mental, psychosocial, environmental, family support, spiritual, cultural, financial, legal).
• Coordinates patient care throughout an episodic/continuous course of care for a specific DRG/diagnosis/procedure/population using InterQual, Millikan or other specific criteria and evidence-based guidelines.
• Completes electronic documentation for case management activities such as discharge planning, patient throughput, appropriate level of care, communication with physician, nursing and patient/family member.
• Articulates information pertinent to clinical condition, LOS, discharge delays, outcomes, resource utilization, discharge planning, etc. at team meetings/presentations, patient care rounds, interdisciplinary rounds and to administration, medical director and physician advisors.
• Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list.
• Utilizes job and unit specific equipment as required.
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• Performs all other related job duties as assigned.

Requirements

• Generally requires 1 to 3 years of related experience.
• Bachelor's degree in Nursing is required.
• Valid, unrestricted Florida RN license required.

Nice-to-haves

• Case Management certification (CCM or ACM) is preferred.