About The Position

Case Manager RN is a professional member of the health care team who has 24/7 accountability for the coordination, monitoring and management of patient care resources to promote the most efficient delivery of patient care services at the appropriate level of care while maintaining a single high standard of care delivery to all patients. The Case Manager RN acts as a resource to all levels of staff in defining/educating/implementing and evaluating patient care and nursing practice standards utilizing the nursing process, current concepts/principles of case management/utilization management/disease management, education, quality improvement, clinical practice and health care trends.

Requirements

  • Generally requires 1 to 3 years of related experience.
  • Bachelor's degree in Nursing is required. Employees hired prior to June 1, 2022 are grandfathered in for the BSN degree.
  • Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines.
  • Ability to communicate effectively in both oral and written form.
  • Ability to handle difficult and stressful situations with professional composure.
  • Ability to understand and follow instructions.
  • Ability to exercise sound and independent judgment.
  • Knowledge and skill in use of job appropriate technology and software applications.
  • Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
  • Skill in monitoring/assessing the performance to make improvements or take corrective action.
  • Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
  • Ability to plan, implement, and evaluate programs.
  • Ability to establish goals and objectives.
  • Ability to recognize, analyze, and solve a variety of problems.
  • Ability to understand, respects and accommodates patients preferences and needs with regards to their individual beliefs, customs and practices.
  • Must have ability to clearly, accurately and effectively provide information to doctors, other nurses, patients, and family members.
  • Must have ability to show compassion, patience and maintain non-judgmental approach to patients, their families as well as other employees and customers.
  • Must have clinical knowledge, skill and ability to fully and accurately complete all required unit competencies, as indicated in the unit competency check-list.
  • Valid, unrestricted Florida RN license required.
  • Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licensures, as required by regulatory and/or nursing standard of practice for the specialty.
  • Job function requires extended standing or walking.
  • Must be able to carry objects weighing 21 to 50 pounds.
  • Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices.
  • Jobs in this group require frequent visual acuity to perform activities related to extended use of computers.
  • Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations.
  • Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public.
  • Function is subject to inside environmental conditions, with occasional outdoor exposures.
  • Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment.
  • May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards.
  • Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment.

Nice To Haves

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

Responsibilities

  • Assess complex patient care needs/situation/acuity levels obtaining significant data from assessments (physical/functional, mental, psychosocial, environmental, family support, spiritual, cultural, financial, legal).
  • Coordinates patient care through out an episodic / continuous course of care for a specific DRG/diagnosis/procedure/population using InterQual, Millikan or other specific criteria and evidence based guidelines.
  • Completes electronic documentation for case management activities such as discharge planning, patient throughput, appropriate level of care, communication with physician, nursing and patient / family member.
  • Articulates information pertinent to clinical condition, LOS, discharge delays, outcomes, resource utilization, discharge planning, etc. at team meetings / presentations, patient care rounds, interdisciplinary rounds and to administration, medical director and physician advisors.
  • Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list.
  • Utilizes job and unit specific equipment as required.
  • Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
  • Performs all other related job duties as assigned.
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