RN Case Manager Fulltime

Jupiter Medical Center • Lexington, MA

5d • Onsite

About The Position

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast. Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

The RN Case Manager functions as the leader of the interdisciplinary team. The RN Case Manager interacts via phone and face to face with the physicians, nurses, discharge planners, insurance providers and others to ensure the patient receives the appropriate and necessary treatment in the correct admission status. Assesses plans, coordinates, and evaluates the needs and services of the patient. Coordinates and completes utilization review activities to ensure compliance with State, Federal and other payor requirements. Participates in performance improvement initiatives related to the management of patient care as appropriate. Performs other duties as assigned.

Requirements

• Current RN licensure in the state of Florida.
• BLS Certification American Heart Association for Healthcare Providers
• 3 years acute health care nursing experience.
• Excellent interpersonal skills with patients, case management staff, physicians, insurance providers, transportation services, and peers.
• Critical thinking skills, Decisive judgment
• Ability to work with deadlines and multiple tasks.
• Knowledge of InterQual or Milliman admission criteria.
• Knowledge of Federal and State regulations.
• Graduate of an accredited school of professional nursing.
• Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation.
• TB/PPD Surveillance Program Maintenance of required professional licensing and/or certification(s).

Nice To Haves

• BSN preferred

Responsibilities

• Functions as the leader of the interdisciplinary team.
• Interacts via phone and face to face with the physicians, nurses, discharge planners, insurance providers and others to ensure the patient receives the appropriate and necessary treatment in the correct admission status.
• Assesses plans, coordinates, and evaluates the needs and services of the patient.
• Coordinates and completes utilization review activities to ensure compliance with State, Federal and other payor requirements.
• Participates in performance improvement initiatives related to the management of patient care as appropriate.
• Performs other duties as assigned.

What This Job Offers

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