RN Entry Point Case Manager - Mid-shift (11AM - 7PM) - FT - 10K Sign on Bonus - MHM

Memorial Healthcare • Miramar, FL

68d

About The Position

The role of the Entry Point Case Manager is to provide utilization management and safe discharge planning for patients presenting to the Emergency Department (ED) or other entry points in need of care. Works in collaboration with the healthcare team to problem solve patient difficulties in the case management arena. Addresses the patient’s healthcare service needs as identified in the Emergency Department.

Requirements

• Accredited Program: Nursing (Required)
• BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association
• BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association
• BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association
• BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential
• BLS Cert Red Cross (BLS RC) - Red Cross
• Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate
• Registered Nurse License (RN LICENSE) - State of Florida (FL)
• Three (3) years’ RN experience.
• Experience with medical necessity criteria, discharge planning in an acute care setting or emergency department setting.

Nice To Haves

• Bachelor of Science in Nursing preferred.
• Certification of Case Management (CCM) preferred.

Responsibilities

• Provides support for other entry points as indicated, which includes responding to requests about status in the PACU, and supporting the Care Coordination Center in decision making regarding acute care transfers and direct admits.
• Identifies and addresses patients with frequent ED use for non-urgent care or patients with high hospital admission rates.
• Works with attending/ED medical staff to assign appropriate designation.
• Provides discharge planning which focuses on the identification of available services or options for placement for ED patients.
• Identifies high risk patients who are greater risk for recurrent visits to the ED.
• Works with multi-visit patients to offer resources in the community and/or refer to ED Social Work for referrals to social service organizations.
• Performs utilization management responsibilities focused on determination of appropriate admission status utilizing criteria-based review and provision of resources and education to the healthcare team.
• Assigns appropriate admitting status: place in observation vs. admit.
• Screens all ED patients with potential for admission identifying payer source.
• Works to support appropriate medical record documentation.
• Develops working relationships with community health resources to improve outpatient access to healthcare for ED population.

Benefits

• Equal opportunity employer committed to workplace diversity.
• Veteran’s Preference for qualified candidates.

What This Job Offers

• Career Level: Entry Level
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees