Case Manager RN, Full-Time, Day Shift, Jackson South

Jackson Health • Miami, FL

4d • 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 serves as a resource to staff in defining, educating, implementing, and evaluating patient care and nursing practice standards, using the nursing process and current principles of case management, utilization management, disease management, education, quality improvement, clinical practice, and health care trends.

Requirements

• Generally 1 to 3 years of related experience.
• Bachelor's degree in Nursing required. Employees hired before June 1, 2022 are grandfathered in for the BSN requirement.
• Valid, unrestricted Florida RN license required.
• Must maintain current unit-specific and organizational skills, competencies, certifications, and licensures required by regulatory requirements or nursing standards of practice for the specialty.
• Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
• Ability to communicate effectively orally and in writing; handle difficult and stressful situations professionally; 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, use logic and reasoning to evaluate alternatives, 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 concerning their individual beliefs, customs, and practices.
• Ability to provide clear, accurate, and effective information to doctors, nurses, patients, and family members, and to show compassion, patience, and a non-judgmental approach.
• Clinical knowledge, skill, and ability to complete all required unit competencies accurately and fully.
• Able to stand or walk for extended periods and carry objects weighing 21 to 50 pounds; able to lift or move objects weighing 51 to 100 pounds using appropriate devices.
• Frequent visual acuity required for activities involving extended computer use.
• Able to function in a fast-paced environment, including occasional high-pressure, emergent, or stressful situations, and interact frequently with a diverse population.
• Must wear personal protective equipment when exposed to infectious or clinical hospital environments.

Nice To Haves

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

Responsibilities

• Assess complex patient care needs, situations, and acuity levels, gathering relevant physical/functional, mental, psychosocial, environmental, family support, spiritual, cultural, financial, and legal information.
• Coordinate patient care throughout an episodic or continuous course of care for a specific DRG, diagnosis, procedure, or population, using InterQual, Milliman, or other applicable 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.
• Communicate information relevant to 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 applicable unit-specific policies and procedures as detailed in the unit 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

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