Case Manager, RN, Per Diem, 8:30 to 5:00pm, weekends and vacation coverage

Jackson Health System; Miami (FL); On-site; USD 70,000 - 100,000; Part time

Job summary

Jackson North Medical Center in Miami is seeking a Case Manager RN to coordinate patient care and resource management. Per diem shifts run 8:30am–5:00pm with weekend and vacancy coverage, emphasizing adherence to care standards and efficient patient flow.

Ideal candidates have 1–3 years of related experience, a BSN, and Florida RN licensure. CCM/ACM credentials are preferred, with strong communication and collaborative skills across care teams.

Qualifications

• Bachelor's degree in Nursing is required.
• Valid, unrestricted Florida RN license required.
• Case Management certification (CCM or ACM) preferred.

Responsibilities

• Assess complex patient care needs and data from assessments.
• Coordinate patient care across episodic care using InterQual or Milliman criteria.
• Complete electronic documentation for discharge planning and throughput.
• Present care plans and outcomes at rounds and with leadership.

Skills

Case management

Nursing

Communication

Problem solving

Team coordination

Education

Bachelor's degree in Nursing

Tools

InterQual criteria

Electronic medical records

Job description

Jackson North Medical Center

Department

Case Management

Address

160 NW 170th Street, North Miami Beach, Florida, 33169

Shift details

Per diem, 8:30am to 5:00pm, weekend and vacancy coverage

Summary

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.

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.

Experience

Generally requires 1 to 3 years of related experience.

Education

Bachelor's degree in Nursing is required. Employees hired prior to June 1, 2022 are grandfathered in for the BSN degree.

Skill

• General Competencies: 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.
• Management Competencies: 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.
• Nursing Competencies: 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.
• Unit Specific: Must have clinical knowledge, skill and ability to fully and accurately complete all required unit competencies, as indicated in the unit competency check-list.
• 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.

Credentials

Valid, unrestricted Florida RN license required. Case Management certification (CCM or ACM) is preferred. 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.

Physical Requirements

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. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).

Environmental Conditions

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. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).