RN Case Manager: Lead Care Coordination & Outcomes

Jupiter Med; Florida; Presencial; USD 70.000 - 100.000; Jornada completa

Descripción de la vacante

Jupiter Medical Center seeks an experienced RN Case Manager to lead the interdisciplinary team, coordinating patient care and ensuring appropriate admission status. You will engage with physicians, nurses, discharge planners, and insurers to secure necessary services and outcomes.

Responsibilities include planning, coordinating, and evaluating patient needs, and performing utilization reviews while complying with federal and state regulations.

Formación

• RN licensure in Florida is required.
• 3 years acute health care nursing experience.
• Excellent interpersonal skills with patients, case management staff, physicians, insurance providers, transportation services, and peers.
• Ability to work with deadlines and multiple tasks.
• Knowledge of InterQual or Milliman admission criteria.
• Knowledge of Federal and State regulations.

Responsabilidades

• The RN Case Manager functions as the leader of the interdisciplinary team.
• Interacts via phone and face to face with physicians, nurses, discharge planners, insurance providers and others to ensure appropriate treatment in the correct admission status.
• Assesses plans, coordinates, and evaluates the needs and services of the patient.
• Coordinates and completes utilization review activities to ensure compliance with State, Federal and other payor requirements.
• Participates in performance improvement initiatives related to management of patient care.
• Performs other duties as assigned.

Conocimientos

Critical thinking

Decisive judgment

InterQual knowledge

Milliman knowledge

Regulatory knowledge

Educación

RN licensure Florida

BSN preferred

Herramientas

BLS Certification

Descripción del empleo

Jupiter Medical Center seeks an experienced RN Case Manager to lead the interdisciplinary team, coordinating patient care and ensuring appropriate admission status. You will engage with physicians, nurses, discharge planners, and insurers to secure necessary services and outcomes.

Responsibilities include planning, coordinating, and evaluating patient needs, and performing utilization reviews while complying with federal and state regulations.