RN Case Manager - Fulltime
About The Position
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 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.
Benefits
- Continued success depends on it!
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
