Registered Nurse Case Manager Full Time Days

Company: Saint Mary's Medical Center
Location: West Palm Beach
Posted on: November 22, 2021

Job Description:

Up to $10,000 Sign-On bonus for experienced Registered Nurse / RN
Summary The Registered Nurse / RN Trauma Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The Registered Nurse / RN Trauma Case Manager has overall responsibility to ensure that care is provided at the appropriate level of care based on medical necessity and assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions.
Responsibilities The Registered Nurse / RN Trauma Case Manager responsibilities include the following activities:
Provides assistance to the Director of Case Management in the management of the department, but not limited to, hiring/training/managing staff, schedule coordination, analysis and reporting, interfacing, collaborating and working closely with the other departments
Utilization Management supporting medical necessity and denial prevention
Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at the appropriate level of care
Accountable for compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
Provides education to physicians, patients, families and caregivers
Facilitates educational programs for Case Management Department on community resources use in discharge planning that encourages professional growth
Provides reports to DCM and hospital leadership as requested The individual's responsibilities include the following activities: a) assist the Director in the daily operations of the department b) accurate medical necessity screening and submission for Physician Advisor review, c) transition planning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h) identification and reporting over and underutilization, i) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to support post-acute needs , m) timely complete and concise documentation in Tenet Case Management documentation system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) and other duties as assigned.

Qualifications:
Qualifications
Current Florida Registered Nurse / RN License
Current BLS Certification
Current ACLS Certification
CNOR preferred
One year peri-operative experience preferred
Computer Skills
Effective oral communication skills in the English language

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Job: Case Management/Home Health Primary Location: West Palm Beach, Florida Facility: Saint Mary's Medical Center Job Type: Full-time Shift Type: Days

Keywords: Saint Mary's Medical Center, Miami , Registered Nurse Case Manager Full Time Days, Executive , West Palm Beach, Florida