Case Manager, RN/ Per diem/ Varied Shift/ Case Management/ Jackson West Medical Center

Jackson Health • Miami, FL

6d • 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 single high standard of care for all patients. 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 and principles of case management, utilization management, disease management, education, quality improvement, clinical practice, and health care trends.

The position requires assessing complex patient care needs and coordinating care throughout an episodic or continuous course of care. The Case Manager RN documents case management activities, communicates clinical and resource information to care teams and leadership, and follows unit-specific policies and procedures. The role also requires use of job- and unit-specific equipment and demonstration of service excellence and CARE values: Compassion, Accountability, Respect, and Expertise.

Requirements

• Generally requires 1 to 3 years of related experience.
• Bachelor's degree in Nursing is required; employees hired before June 1, 2022 are grandfathered in for the BSN requirement.
• Valid, unrestricted Florida RN license is required.
• Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
• Ability to communicate effectively orally and in writing.
• 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.
• Ability to understand, respect, and accommodate patients' preferences and needs regarding their individual beliefs, customs, and practices.
• Ability to provide information clearly, accurately, and effectively to doctors, nurses, patients, and family members.
• Ability to demonstrate compassion and patience and maintain a nonjudgmental approach toward patients, families, employees, and customers.
• Clinical knowledge, skill, and ability to complete all required unit competencies accurately and fully.
• Physical ability to stand or walk for extended periods, carry objects weighing 21 to 50 pounds, and lift or move objects weighing 51 to 100 pounds using appropriate devices.
• Ability to perform activities requiring frequent visual acuity, including extended computer use.

Nice To Haves

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

Responsibilities

• Assess complex patient care needs, situations, and acuity levels, gathering data on physical and functional status, mental and psychosocial needs, environment, family support, spiritual and cultural considerations, and financial and legal factors.
• Coordinate patient care throughout an episodic or continuous course of care for a specific DRG, diagnosis, procedure, or population, using InterQual, Milliman, or other 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.
• Communicate 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.

What This Job Offers

• Career Level: Mid Level