Clinical Case Manager II (RN)

Sarasota Memorial Health Care System • Sarasota, FL

1d • Onsite

About The Position

The Clinical Case Manager (CCM) is a dynamic role that utilizes professional nursing skills to assess patient and family situations while considering clinical appropriateness for the acute or an alternate setting and establishing plans for effective management of the continuum of care (episodic and population-based) by performing assessments, plans, interventions, and reassessments in a collaborative manner. CCM works closely with Medical Staff, Psychosocial Case Managers, Nursing, Allied Health disciplines, hospital business/financial services, agencies across the continuum (internal and external) and payers. The key goals of the CCM includes proactive, individualized planning for patients' progress across the continuum that optimizes quality of care, utilization, cost and patient experience. The CCM also leads activities directed toward improving appropriate utilization across populations of patients to meet holistic care planning goals and organizational strategic objectives, as well as, developing initiatives within the department or to impact management of patient populations within and across the continuum.

Requirements

• Minimum of three (3) years of case management or utilization review experience in a hospital setting.
• Minimum of three (3) years of related clinical practice in an acute care setting (effective 09/10/21).
• Bachelor of Science in Nursing (BSN) degree from an accredited school of nursing.
• Previous experience with hospital information systems (order entry, results reporting, case management).
• Proficient experience using PC/computer (word processing a minimum).
• FL Registered Nurse License

Nice To Haves

• Active Case Management Certification (CCM or ACM-RN) or obtain within one (1) year of hire.
• Membership in a relevant CM organization.
• Demonstrated ability to manage multiple tasks and adjust priorities according to patient needs and department/hospital needs.
• Solid clinical assessment, critical thinking, decision making, and organizational skills.
• Strong ability to communicate effectively both verbally and in written work.
• Strong interpersonal skills and ability to work collaboratively with leaders, staff, patients, families, healthcare team, payers, and external agencies.

Responsibilities

• Assess patient and family situations considering clinical appropriateness for the acute or an alternate setting.
• Establish plans for effective management of the continuum of care (episodic and population-based) by performing assessments, plans, interventions, and reassessments in a collaborative manner.
• Work closely with Medical Staff, Psychosocial Case Managers, Nursing, Allied Health disciplines, hospital business/financial services, agencies across the continuum (internal and external) and payers.
• Proactively and individually plan for patients' progress across the continuum to optimize quality of care, utilization, cost, and patient experience.
• Lead activities directed toward improving appropriate utilization across populations of patients to meet holistic care planning goals and organizational strategic objectives.
• Develop initiatives within the department or to impact management of patient populations within and across the continuum.

What This Job Offers

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