Registered Nurse (RN) Case Manager, Full Time, Day Shifts

Hialeah Hospital • Hialeah, FL

2d • Onsite

About The Position

Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources of all patients reviewed. Maintains confidential communication with physicians and multi-disciplinary personnel to meet individual needs or the patients served. Functions as an independent contributor as well as a team member.

Requirements

• Current Florida RN Licensure
• BLS Certification
• Must possess a solid clinical background to accomplish extensive Medical Record review.
• Able to use the medical record in order to obtain clinical information to perform Interqual reviews.
• Utilize Outlook, and the computer-based systems (AllScripts) to perform reviews.

Nice To Haves

• Three or more years of acute care hospital experience preferred.
• Familiar with the operations of the healthcare industry and healthcare delivery systems.
• Work experience in Medical-Surgical, Telemetry, Critical Care, and/or Pediatrics, NICU preferred.
• Computer skills preferred

Responsibilities

• Perform Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines.
• Monitor the utilization of resources of all patients reviewed.
• Maintain confidential communication with physicians and multi-disciplinary personnel to meet individual needs or the patients served.
• Function as an independent contributor as well as a team member.

What This Job Offers

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