Case Manager, RN, Full-Time, Days, 8:00am-4:30pm, M-F, rotating weekends

Jackson Health • Miami, FL

21h • 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 standard of care for all patients. The Case Manager RN also 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 is a full-time, day-shift position at Jackson Memorial Hospital in Miami, Florida. The stated schedule is 8:00 a.m. to 4:30 p.m., Monday through Friday, with rotating weekends.

Requirements

• Bachelor's degree in Nursing; employees hired before June 1, 2022, are grandfathered in for the BSN degree requirement.
• Valid, unrestricted Florida RN license.
• American Heart Association Basic Life Support (BLS) certification, and any additional applicable life support certification for Healthcare Providers, upon hire with at least six months of validity; certifications must be maintained at Jackson Health System for the duration of employment.
• Generally, 1 to 3 years of related experience.
• Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
• Ability to communicate effectively in oral and written form, understand and follow instructions, exercise sound independent judgment, and handle difficult or stressful situations with professional composure.
• Knowledge and skill in using job-appropriate technology and software applications.
• Knowledge of business and management principles related to strategic planning, resource allocation, human resources modeling, leadership techniques, production methods, and coordination of people and resources.
• Ability to monitor and assess performance, identify strengths and weaknesses of alternative solutions or approaches, plan and evaluate programs, establish goals and objectives, and recognize, analyze, and solve problems.
• Ability to understand, respect, and accommodate patients' individual beliefs, customs, practices, preferences, and needs.
• Ability to provide clear, accurate, and effective information to doctors, nurses, patients, and family members, and to demonstrate compassion, patience, and a non-judgmental approach.
• Must meet and maintain unit-specific and organizational competencies, certifications, and licensures required by regulatory requirements or nursing standards of practice.

Nice To Haves

• Case Management certification (CCM or ACM).

Responsibilities

• Assess complex patient care needs, situations, and acuity levels, gathering significant data on physical and functional status, mental and psychosocial needs, environmental factors, family support, spiritual and cultural considerations, and financial and legal matters.
• 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, appropriate 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 Jackson's CARE values: Compassion, Accountability, Respect, and Expertise.
• Perform other related job duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level