Clinical Case Manager II (RN)

Sarasota Memorial Health Care System; Sarasota (FL); On-site; USD 72,000 - 100,000; Full time

Job summary

Sarasota Memorial Health Care System seeks a Clinical Case Manager to assess patient and family needs, plan care, and coordinate across the continuum of care. The CCM collaborates with Medical Staff, Nursing, and payers to optimize utilization and patient experience.

Requires a BSN, Florida RN license, and at least 3 years of hospital case management and clinical practice experience. Proficiency with hospital information systems and general PC skills are essential.

Qualifications

• Minimum 3 years of case management or utilization review experience in a hospital setting.
• Minimum 3 years of related clinical practice in an acute care setting.
• BSN from an accredited school of nursing.
• Experience with hospital information systems (order entry, results reporting).
• Proficient PC skills (word processing at minimum).

Responsibilities

• Assess patient and family needs and plan care across the continuum.
• Develop and implement plans of care, interventions, and reassessments.
• Collaborate with Medical Staff, Nursing, and payers to optimize utilization and patient experience.

Skills

Case management

Utilization review

Clinical practice

Interpersonal skills

Education

BSN degree

Tools

Hospital information systems

Job description

Department

Integrated Case Management

Job Summary

The Clinical Case Manager (CCM) is a dynamic role that utilizes professional nursing skills to assess patient and family situations while considering clinical appropriateness for the acute or an alternate setting and establishing plans for effective management of the continuum of care (episodic and population-based) by performing assessments, plans, interventions, and reassessments in a collaborative manner. CCM works closely with Medical Staff, Psychosocial Case Managers, Nursing, Allied Health disciplines, hospital business/financial services, agencies across the continuum (internal and external) and payers. The key goals of the CCM includes proactive, individualized planning for patients’ progress across the continuum that optimizes quality of care, utilization, cost and patient experience. The CCM also leads activities directed toward improving appropriate utilization across populations of patients to meet holistic care planning goals and organizational strategic objectives, as well as, developing initiatives within the department or to impact management of patient populations within and across the continuum.

Required Qualifications

• Require a minimum of three (3) years of case management or utilization review experience in a hospital setting.
• Require a minimum of three (3) years of related clinical practice in an acute care setting.
• Require a Bachelor of Science in Nursing (BSN) degree from an accredited school of nursing.
• Require previous experience with hospital information systems (order entry, results reporting, case management).
• Require proficient experience using PC/computer (word processing a minimum).

Preferred Qualifications

• Prefer active Case Management Certification (CCM or ACM-RN) or within one (1) year of hire and membership in relevant CM organization.
• Prefer demonstrated ability to manage multiple tasks and adjust priorities according to patient needs and department/hospital needs.
• Prefer solid clinical assessment, critical thinking, decision making and organizational skills.
• Prefer strong ability to communicate effectively both verbally and in written work.
• Prefer strong interpersonal skills and ability to work collaboratively with leaders, staff, patients, families, healthcare team, payers and external agencies.

Required License and Certs

FL RN: FL Registered Nurse License

Employment Screening Requirements

As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/