CASE MANAGER (RN/LIC)

UHS•Lakewood Ranch, FL

7h•Onsite

About The Position

The Case Manager is a registered professional nurse with education, knowledge, and experience related to the specific area assigned. The role focuses on leadership in the multidisciplinary planning and coordination of the patient’s care across the healthcare continuum. The Case Manager organizes the sequence of patient care to attain maximum levels of effectiveness and efficiency to reach desired quality, clinical, and cost outcomes. The Case Manager organizes multiple strategies to ensure the case of all patients is managed with minimal overlapping roles and processes. The Case Manager participates in a team approach, composed of the physician, nurse, social worker, direct and indirect providers, community resources, and payers. The Case Manager conducts medical necessity utilization, manages home/outpatient services and in collaboration with the clinical team and medical provider, provides discharge planning coordination and intervention. The Case Manager strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized denials of payment among a patient population with complex health needs. Communicates and updates Department Director or Designee on cases that require management level assistance and/or approval as they occur including data collection and reporting. Demonstrates Service Excellence at all times. This position serves patients of all ages and encompasses all other duties as assigned.

Requirements

Current Active RN Florida Licensure
Minimum of three (3) years acute care clinical experience required

Nice To Haves

BSN Preferred
Case Management Certification Preferred
Discharge Planning and/or Utilization (InterQual) preferred

Responsibilities

Organizes the sequence of patient care to attain maximum levels of effectiveness and efficiency to reach desired quality, clinical, and cost outcomes.
Organizes multiple strategies to ensure the case of all patients is managed with minimal overlapping roles and processes.
Participates in a team approach, composed of the physician, nurse, social worker, direct and indirect providers, community resources, and payers.
Conducts medical necessity utilization.
Manages home/outpatient services.
Provides discharge planning coordination and intervention in collaboration with the clinical team and medical provider.
Strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized denials of payment among a patient population with complex health needs.
Communicates and updates Department Director or Designee on cases that require management level assistance and/or approval as they occur including data collection and reporting.
Demonstrates Service Excellence at all times.
Serves patients of all ages.