Interqual-Driven RN: Case Management & Care Coordination

Palmetto-General-Hospital; Florida; On-site; USD 70,000 - 95,000; Full time

Job summary

Palmetto-General-Hospital is seeking a Case Manager RN to ensure medical necessity of admissions and appropriate continued stay using Interqual guidelines. You will monitor resource use and collaborate with physicians and care teams to implement effective care plans.

Daily assessment of patient progress, adjusting plans as needed, and maintaining confidential communication with the care team. Requires Florida RN licensure and BLS; preferred experience in Medical-Surgical, Telemetry, Critical

Qualifications

• Fluent in written and spoken English.
• Current Florida RN Licensure; BLS Certification.
• Must possess solid clinical background for Medical Record review.

Responsibilities

• Perform Case Management activities to assure medical necessity of admissions and appropriateness of continued stay using Interqual Guidelines.
• Monitor utilization of resources for all patients reviewed.
• Communicate with physicians, families, and multi-disciplinary teams to implement care plans and adjust as needed.

Skills

Communication

English fluency

Interqual reviews

Outlook

Medical record review

Tools

Outlook

EMR / electronic medical records

Job description

Palmetto-General-Hospital is seeking a Case Manager RN to ensure medical necessity of admissions and appropriate continued stay using Interqual guidelines. You will monitor resource use and collaborate with physicians and care teams to implement effective care plans.

Daily assessment of patient progress, adjusting plans as needed, and maintaining confidential communication with the care team. Requires Florida RN licensure and BLS; preferred experience in Medical-Surgical, Telemetry, Critical