The Blog Single

Location: Miami, FL

Description:

The purpose of the RN Case Manager I position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care. The role integrates and coordinates care facilitation and discharge planning functions while working in partnership with the UR RN and Social Work Case Manager.

Responsibilities

The RN Case Manager I is accountable for a designated patient caseload and plans effectively to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources. Specific functions within this role include:

• Facilitation of the collaborative management of patient care across the continuum
• Intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement
• Application of process improvement methodologies in evaluating outcomes of care
• Coordinating communication with the healthcare team, patient’s families and post-acute care services
• Readmission screening and prevention.

Requirements:

Minimum Required Experience: 3 Years

Degrees: Associate

Licenses & Certifications: ACMA ACM Certification CDMS Certified Disability Management Specialist NACCM Care Manager Certified ABMCM Certified Managed Care Nurse RNCB Certified Rehabilitation Registered Nurse ANCC Nursing Case Management NBCC Certification in Continuity of Care, Advanced Registered Nurse CCMC Case Manager

Additional Qualifications

• RNs hired before 2/2012 with an Associate Degree are not required to have a BSN to continue their non-leadership role as an RN. However, required to complete a BSN within 5 years of hire. A Case Management Certification is required within 12 months of hire.
• 3 years of hospital clinical experience with a minimum of 1-3 years of hospital or payor Case Management experience preferred.
• Excellent interpersonal communication and negotiation skills. Strong analytical, data management, and computer skills.
• Current working knowledge of discharge planning, utilization management, case management, and performance improvement is preferred.
• Understanding of pre-acute and post-acute venues of care and post-community resources preferred. Strong organizational and time management skills, as evidenced by the capacity to prioritize multiple tasks and role components.
• Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.

EOE