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RN Case Manager - Miami, FL - Case Management

Company: Mercy Hospital
Location: Miami
Posted on: January 16, 2022

Job Description:

Description SHIFT: Days (rotating weekends)SCHEDULE: Part-timeRN Case Manager
Case Management Department
Full Time, Day Shift, .8--FTE
Mercy Hospital
Miami, FL
Facility Description:
Since 1950 Mercy Hospital has been serving the healthcare needs of South Florida. Licensed for 488-beds, accredited by the Joint Commission, Mercy Hospital is affiliated with more than 1,000 physicians representing a wide range of medical specialties to serve the residents of Miami-Dade County and surrounding communities. Services include emergency care, heart and vascular care, maternity and neonatal care (Level II NICU), as well as outpatient and CARF accredited inpatient rehabilitation. Accessible by land, air and sea, Mercy is designated by the Joint Commission as a Primary Stroke Center and the hospital's Comprehensive Community Cancer Program is accredited by the American College of Surgeons Commission on Cancer.
Mercy Hospital is sponsored by the Sisters of St. Joseph of St. Augustine, Florida, and affiliated with HCA Healthcare's East Florida Division. As Miami-Dade County's only Catholic hospital, Mercy has maintained its reputation for excellence while following the Catholic tradition of caring for God's people and providing spiritual support. Since its inception, Mercy Hospital has been dedicated to providing excellent medical care, while remaining true to its mission of caring for the physical and spiritual needs of all the people it serves
We are committed to providing our employees with the support they need. At Aventura Hospital & Medical Center, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:

Student Loan Repayment*

Tuition Reimbursement/Assistance Programs*

Paid Personal Leave

401k (100% annual match - 3% to 9% of pay based on years of service)

Identity Theft Protection discounts

Auto, Home, and Life Insurance options

Adoption Assistance

Employee Stock Purchase Program (ESPP)*

*If applicable, please refer to the CBA or the local HR office to confirm if this benefit applies to your position.
Job Description:
The RN CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

Demonstrates responsibility and accountability in the performance of assessment, reassessment, development and implementation of the patient's plan of care in relationship to the discharge needs and follow-up care and in accordance with the utilization management plan.

Proactively communicates with the physician and other members of the health care team to determine the best options to meet the patient's needs in an efficient and effective manner.

Review all assigned cases within 1 work day of the admission or request for review utilizing current and accurate clinical case review criteria.

Promotes the most effective and efficient use of resources to achieve the targeted length of stay.

Assesses, collaborates and coordinates the patient's discharge planning needs and readiness for discharge with other members of the healthcare team and the patient/family/SO.

Complies with the departmental policies and procedures related to required processes including but not limited to documentation, interdisciplinary communication, IM delivery, teamwork, fiscal responsibility and performance improvement activities.

Assists Physicians in the decision of proper status placement. Informs and educates internal personnel for correct status assignment. Works with physician advisor to assure InterQual criteria are applied.

Refers to social worker the high-risk discharges e.g. homeless, HIV, DCF, Baker Acts, new diagnoses and difficult transfers/discharges/placements.


  • Associates Degree Required

  • BSN Preferred

  • Hospital Nursing experience Required

  • Case Management experience a plus

  • Critical Care experience a plus

  • Certification in Case Management or Utilization Review preferred

  • InterQual experience preferred

    Notice Our Company's recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking--.
    For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

Keywords: Mercy Hospital, Miami , RN Case Manager - Miami, FL - Case Management, Healthcare , Miami, Florida

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