Case Manager RN (H) Remote
About The Position
The University of Miami UHealth Department of UMHC-SCCC Business Operations is hiring a full-time, remote Case Manager RN. The incumbent coordinates patients’ interdisciplinary plans of care from admission through discharge, monitors care, and serves as a liaison among patients and families, healthcare personnel, and insurers. The role evaluates patient needs and available resources, recommends and facilitates plans for optimal outcomes, and develops discharge plans using available resources to support ongoing needs and adherence to medical advice. The Case Manager RN also identifies patient-care issues and recommends revisions to or development of clinical pathways to improve quality of care.
Requirements
- Bachelor’s degree.
- Registered Nurse (RN) licensure.
- At least 2 years of relevant experience.
- Ability to communicate effectively in oral and written form.
- 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
- Identify patient risk factors and obstacles to care, discharge, and readmission.
- Evaluate plans of care regularly through chart review and patient interviews, and collaborate with the medical team to facilitate patients’ movement through the system.
- Educate patients and families about the progression of care.
- Coordinate communication among patients, families, and healthcare personnel so necessary care is delivered promptly, effectively, and in a fiscally responsible manner.
- Promote quality care by ensuring patients receive medically appropriate services at appropriate status and stay standards.
- Facilitate ongoing insurance authorization for continued stay.
- Facilitate regulatory notifications and obtain patient signatures in accordance with 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.
- Identify patient-care issues and suggest revisions to or new clinical pathways to improve quality of care.
Benefits
- Medical insurance
- Dental insurance
- Tuition remission
- Competitive salaries
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
