Case Manager RN (H) Remote

University of Miami•Miami, FL

1d•Remote

About The Position

The University of Miami UHealth Department of UMHC-SCCC Business Operations is hiring a full-time remote Case Manager RN. The role coordinates the interdisciplinary plan of care from admission through discharge, monitors care, and serves as a liaison among patients, families, healthcare personnel, and insurers. The Case Manager evaluates patient needs and available resources, then recommends and facilitates plans intended to achieve the best outcomes. The role develops discharge plans using available resources to address ongoing patient needs and encourage compliance with medical advice. It also identifies patient-care issues and recommends revisions to or development of clinical pathways to improve quality of care. The University of Miami offers competitive salaries and a comprehensive benefits package, including medical, dental, tuition remission, and more. UHealth is a university-based health system serving South Florida, Latin America, and the Caribbean, with patient care supported by research and medical education at the Miller School of Medicine.

Requirements

Bachelor’s degree.
Registered Nurse (RN) license.
At least 2 years of relevant experience.
Ability to communicate effectively orally and in writing.
Ability to recognize, analyze, and solve a variety of problems.
Ability to analyze, organize, and prioritize work under pressure while meeting deadlines.
Ability to maintain effective interpersonal relationships.

Responsibilities

Identify patients’ risk factors or obstacles to care, discharge, and readmission.
Evaluate the plan of care regularly through chart reviews and patient interviews, and collaborate with the medical team to facilitate patients’ movement through the system.
Educate patients and families about the progression of care.
Liaise among patients, families, and healthcare personnel to ensure necessary care is provided promptly, effectively, and in a fiscally responsible manner.
Promote quality care by ensuring patients receive medically appropriate services in appropriate status and stay standards.
Facilitate ongoing insurance authorization for continued stays.
Facilitate regulatory notifications and obtain patient signatures in accordance with policy.
Maintain knowledge of insurance reimbursement policies.
Plan and facilitate discharge and transition plans that meet patients’ physical, social, and emotional needs.
Adhere to University and unit-level policies and procedures and safeguard University assets.