Manager - Case Management

Azza HealthCare Agency; Florida; Vor Ort; USD 70.000 - 100.000; Vollzeit

Zusammenfassung

Azza HealthCare Agency is seeking a skilled RN or BSN case manager to lead discharge planning and ensure regulatory compliance and high-quality patient care. You will coordinate daily case management activities, collaborate with multidisciplinary teams, and apply clinical decision-making to optimize patient flow.

This role requires 3+ years in case management and 2+ years in leadership, with familiarity in InterQual or Milliman guidelines.

Qualifikationen

• Three years in case management and two years in a leadership role.
• RN or BSN required; case management certification preferred.
• Must demonstrate critical thinking, effective communication, decisive judgment, and the ability to work independently in high‑pressure environments.
• Knowledge of hospital information systems and performance improvement techniques.

Aufgaben

• Oversee and coordinate daily case management and discharge planning to ensure quality patient care, regulatory compliance, and efficient patient flow.
• Collaborate with multidisciplinary teams, interpret payer guidelines, and apply clinical decision‑making.
• Ensure discharge plans meet state and federal regulations using InterQual or Milliman guidelines.
• Monitor, improve processes, performance, and staff development.

Kenntnisse

Critical thinking

Effective communication

Decisive judgment

Independence under pressure

Leadership experience

Ausbildung

RN or BSN

Case management certification preferred

Tools

InterQual guidelines

Milliman guidelines

Hospital information systems

Jobbeschreibung

Role Overview:

Responsible for daily oversight and coordination of case management and discharge planning to ensure quality patient care, regulatory compliance, and efficient patient flow.

Key Responsibilities:

• Collaborate with multidisciplinary teams, interpret payer guidelines, and utilize clinical decision-making skills.
• Ensure discharge plans meet state and federal regulations, using tools like Interqual or Milliman guidelines.
• Monitor and improve processes, performance, and staff development.

Qualifications & Skills:

• Minimum of three years in case management and two years in a leadership role.
• Nursing degree (RN or BSN) required; case management certification preferred.
• Must demonstrate critical thinking, effective communication, decisive judgment, and the ability to work independently in high-pressure environments.
• Knowledge of hospital information systems and performance improvement techniques is essential.