RN Case Manager: Elevate Care Coordination

Memorial Healthcare System; Florida; In loco; USD 70.000 - 95.000; Tempo pieno

Descrizione del lavoro

Memorial Healthcare System in Hollywood, FL, seeks an experienced RN Case Manager to coordinate patient care from admission through discharge, partnering with the multidisciplinary team to create a comprehensive case management plan and ensure a safe transition to the next level of care.

The role emphasizes utilization management, discharge planning, and collaboration with ED and hospital staff to address clinical, psychosocial, and financial needs, with a focus on high-quality patient-centered

Competenze

• Minimum one year of experience in a hospital-based Case Management practice or five years in Healthcare.
• Graduate of an accredited Registered/Professional Nursing Program.
• Basic Life Support (BLS) Healthcare Provider required upon hire.

Mansioni

• Identifies and addresses patients with frequent ED use for non-urgent care or patients with high hospital admission rates.
• Provides support for other entry points as indicated, including responding to status requests in the PACU and supporting ED transfers and direct admits.
• Screens all ED patients with potential for admission identifying payer source.
• Develops relationships with community health resources to improve outpatient access to healthcare for ED population.
• Tracks clinic patients and frequency of ED use for non-acute care.
• Offers options for future non-acute care for clinic patients.
• Tracks barriers to clinic access.
• Supports medical record documentation.
• Performs utilization management focusing on appropriate admission status via criteria-based review and resource education.
• Assigns admitting status (observation vs admit).
• Collaborates with attending/ED staff for appropriate designation.
• Works with multi-visit patients to refer to ED Social Work and community resources.
• Provides discharge planning for ED patients with available services or placement options.

Conoscenze

Care coordination

Interdisciplinary collaboration

Utilization review

Formazione

Accredited Nursing Program

RN License (FL)

Descrizione del lavoro

Location:

Hollywood, Florida

We have an outstanding reputation for providing patient- and family-centered care that exceeds all expectations. Together, we have created an award-winning, nationally-recognized system where every effort is focused on delivering exceptional care throughout our communities. Career opportunities exist on diverse teams across our many facilities where you can search open positions and apply online to join #teamMHSflorida.

Learn more below.

Summary

The RN Case Manager coordinates the care and service of patient populations from admission through discharge. The RN Case Manager, collaboratively with inter-disciplinary teams, works to build a comprehensive case management plan through effective care coordination and utilization of healthcare resources to achieve desired clinical and financial goals. Key responsibilities are to partner with the healthcare team to ensure all aspects of the patient’s needs, clinical, psychosocial, and financial are adequately addressed in the transition of the care plan and to manage the patient’s timely progression of care and safe transition to the next most appropriate level of care.

Responsibilities

Identifies and addresses patients with frequent ED use for non-urgent care or patients with high hospital admission rates.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.Screens all ED patients with potential for admission identifying payer source.Develops working relationships with community health resources to improve outpatient access to healthcare for ED population.a. Tracks clinic patients/frequency of ED use for non-acute care.b. Provides clinic patients options for future non-acute care.c. Tracks barriers to clinic access.Works to support appropriate medical record documentation.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.Works with multi-visit patients to offer resources in the community and/or refer to ED Social Work for referrals to social service organizations.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 attending/ED medical staff to assign appropriate designation.

Competencies

ACCOUNTABILITY, ANALYSIS AND DECISION MAKING, CLINICAL POLICIES AND STANDARDS, CUSTOMER SERVICE, DISCHARGE PLANNING CLINICAL EFFECTIVENESS, PATIENT AND FAMILY CENTERED CARE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK

Education And Certification Requirements

Accredited Program: Nursing (Required)BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART), BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS), Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)

Additional Job Information

Complexity of Work: This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Must be able to provide education and resources relevant to the effective progression of care, utilization of services, appropriate level of care, and safe patient transition to the patient/family and health care team. Required Work Experience: Minimum one (1) year of experience in a hospital-based Case Management practice or five (5) years in Healthcare. Other Information: Additional Education Info: Graduate of an accredited Registered/Professional Nursing Program.Additional Credential Info: Basic Life Support (BLS) Healthcare Provider required upon hire.

Working Conditions And Physical Requirements

• Bending and Stooping = 0%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 0%
• Lifting/Carrying Patients 35 Pounds or Greater = 40%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
• Pushing or Pulling > 75 lbs Non-Patient = 0%
• Reaching = 60%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 80%
• Running = 0%
• Sitting = 80%
• Squatting = 0%
• Standing = 80%
• Walking = 80%
• Audible Speech = 80%
• Hearing Acuity = 80%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 80%
• Distinguish Color = 60%
• Seeing - Far = 80%
• Seeing - Near = 80%
• Bio hazardous Waste = 60%
• Biological Hazards - Respiratory = 60%
• Biological Hazards - Skin or Ingestion = 60%
• Blood and/or Bodily Fluids = 60%
• Communicable Diseases and/or Pathogens = 60%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 60%
• Gas/Vapors/Fumes = 60%
• Hazardous Chemicals = 60%
• Hazardous Medication = 40%
• Latex = 60%
• Computer Monitor = 80%
• Domestic Animals = 60%
• Extreme Heat/Cold = 0%
• Fire Risk = 0%
• Hazardous Noise = 0%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 0%
• Needles/Sharp Objects = 60%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 60%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 60%
  
  

Shift

Days

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email [e-mail]