Case Management - Case Manager, RN Part Time

Medlink Management Services • Lake Butler, FL

23h

About The Position

Lake Butler Hospital is a critical access hospital in North Florida that provides emergency, inpatient, swing bed, rehabilitation, laboratory, and radiology services. The hospital seeks a Case Manager to support patients and care teams in a compassionate, collaborative environment.

The Case Manager monitors referral systems for prospective admissions and, for accepted patients, creates accounts, obtains admission authorization, arranges transportation, and communicates expected arrival information to the team. The role supports compliance with CMS Conditions of Participation for Utilization Review and Discharge Planning, including implementation and annual review of the Utilization Management Plan and coordination of the Utilization Management Committee.

The position integrates utilization review, discharge planning, and resource management to help ensure care is provided in an appropriate setting using medically indicated resources. Through collaboration and coordination, the Case Manager supports quality of care, appropriate length of stay, cost management, and patient outcomes.

Requirements

• Associate degree in healthcare or a related field.
• Registered Nurse licensed in the state of Florida.
• At least five years of acute hospital nursing experience, or three to five years of acute hospital Case Management experience.
• Strong organizational and interpersonal skills.
• Knowledge of criteria for Medicare, Medicaid, HMO, and private insurance coverage.
• Knowledge of the continuum of care and utilization process.
• Ability to work independently, pay attention to detail, maintain a positive attitude and confidentiality, and complete assignments in a timely manner.
• Ability to communicate effectively, be proactive, handle difficult situations professionally, and document Case Management plans clearly and concisely.
• Ability to operate a computer and associated peripheral equipment.

Nice To Haves

• Bachelor’s degree in nursing.

Responsibilities

• Facilitate team meetings that foster interdepartmental collaboration with patients and families as needed, including multidisciplinary and Utilization Review/Case Management meetings.
• Provide input on utilization management and discharge planning during meetings and ensure appropriate documentation is completed.
• Evaluate and screen potential admissions to the facility when appropriate.
• Communicate daily with admissions personnel and ancillary staff about admissions and discharges to various units.
• Maintain ongoing communication with patients and their families to assess discharge needs.
• Monitor referral systems for patients who may meet admission criteria.
• For accepted patients, create an account, obtain admission authorization, arrange transportation, and communicate expected arrival information to the team.
• Support compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning.
• Implement and annually review the Utilization Management Plan and assist with coordination of the Utilization Management Committee.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree