Case Manager, RN, Per-Diem, Jackson South

Jackson Health•Miami, FL
•Onsite

About The Position

The Case Manager RN is a professional member of the health care team with 24/7 accountability for coordinating, monitoring, and managing patient care resources. The role promotes efficient delivery of patient care services at the appropriate level of care while maintaining a consistent high standard of care. The Case Manager RN serves as a resource to staff in defining, educating, implementing, and evaluating patient care and nursing practice standards, using the nursing process and current concepts in case management, utilization management, disease management, education, quality improvement, clinical practice, and health care trends. This per-diem, on-call/pool position is based at Jackson South in Miami, Florida. The role requires coordination of care across an episodic or continuous course of care, electronic documentation, participation in interdisciplinary discussions, and compliance with unit-specific policies and competencies.

Requirements

  • Bachelor's degree in Nursing is required; employees hired before June 1, 2022 are grandfathered in for the BSN requirement.
  • Generally requires 1 to 3 years of related experience.
  • Valid, unrestricted Florida RN license is required.
  • Maintain current unit-specific and organizational skills, competencies, certifications, and licensures required by regulatory standards or nursing practice standards for the specialty.
  • Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
  • Ability to communicate effectively in oral and written form.
  • Ability to handle difficult and stressful situations with professional composure.
  • Ability to understand and follow instructions and exercise sound, independent judgment.
  • Knowledge and skill in using job-appropriate technology and software applications.
  • Knowledge of business and management principles, including strategic planning, resource allocation, human resources modeling, leadership techniques, production methods, and coordination of people and resources.
  • Ability to monitor and assess performance to make improvements or take corrective action.
  • Skill in using logic and reasoning to evaluate alternative solutions, conclusions, or approaches to problems.
  • Ability to plan, implement, and evaluate programs; establish goals and objectives; and recognize, analyze, and solve problems.
  • Ability to understand, respect, and accommodate patients' preferences and needs regarding individual beliefs, customs, and practices.
  • Ability to provide clear, accurate, and effective information to doctors, nurses, patients, and family members.
  • Ability to show compassion and patience and maintain a non-judgmental approach toward patients, families, employees, and customers.
  • Clinical knowledge, skill, and ability to complete all required unit competencies fully and accurately.
  • Ability to perform job functions requiring extended standing or walking, carry objects weighing 21 to 50 pounds, and lift or move objects weighing 51 to 100 pounds using appropriate devices.
  • Frequent visual acuity is required for activities involving extended computer use.

Nice To Haves

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

Responsibilities

  • Assess complex patient care needs, situations, and acuity levels using data from physical, functional, mental, psychosocial, environmental, family-support, spiritual, cultural, financial, and legal assessments.
  • Coordinate patient care throughout an episodic or continuous course of care for a specific DRG, diagnosis, procedure, or population, using InterQual, Milliman, or other specific criteria and evidence-based guidelines.
  • Complete electronic documentation for case management activities, including discharge planning, patient throughput, level of care, and communication with physicians, nursing staff, patients, and family members.
  • Present information about clinical condition, length of stay, discharge delays, outcomes, resource utilization, and discharge planning at team meetings, presentations, patient care rounds, interdisciplinary rounds, and to administration, the medical director, and physician advisors.
  • Follow and perform unit-specific policies and procedures as detailed in the unit-specific competency checklist.
  • Use job- and unit-specific equipment as required.
  • Demonstrate service excellence and CARE values: Compassion, Accountability, Respect, and Expertise.
  • Perform other related job duties as assigned.
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