| Description Facility Description: As a member of the Adventist Healthcare System, our mission is to extend the Healing Ministry of Christ and to provide extraordinary compassionate care to each patient every day. Florida Hospital Tampa, located across from the University of South Florida, is a 475-bed hospital that provides strategic medical care through the development of specialized Centers of Excellence that focus resources on major disease areas, including cardiovascular care, women's services, cancer treatment, pediatrics, orthopaedics and diabetes management. In addition, we offer several specialized service units, including intensive care, pediatric/neonatal intensive care, rehabilitation, occupational health, continuing care and general surgery as well as a 24-hour emergency department with dedicated treatment facilities for chest pain, pediatrics and minor care. Job Summary: The Case Manager is accountable for the organization, sequence of services and resources that are necessary and appropriate for the achievement of patient care outcomes within effective time frames on a specific group of patients. In addition, the Case Manager will coordinate the plan of care among all members of the health care team. The Case Manager must have the professional ability to practice under minimal supervision and perform the following seven essential activities of Case Management: Appropriate of Setting, Assessment, Planning, Implementation, Coordination, Monitoring and Evaluation, with emphasis on decreasing length of stay and monitoring cost effective health care across the continuum of care. This position is required to have competence to assess and case manage all age groups as indicated by the license of a Professional Registered Nurse. The Case Manager must complete all initial admission assessments within 24 hours of inpatient admission and match the patient's ongoing needs with the appropriate level and type of medical, health, psychosocial, or social service as they relate across the continuum of care. The Case Manager evaluates patients for appropriateness, medical necessity, benefit systems and cost benefit analysis within the case load according to Case Management Department Plan, policies and procedures. The Case Manager must meet Department expectations to affect practice variations and enhance patient outcomes. Demonstrates knowledge of payer contracts and provides clinical information to payers, in a fiscally responsible manner. Functions in a team approach to coordinate appropriate and safe discharge planning from the newborn to the geriatric patient. As a leader in meeting the health care needs of the community, Florida Hospital Tampa is committed to providing a workplace that respects the diversity and contribution that our employees bring to our organization. Our mission depends not only on our commitment to living our values but on our efforts to excel in both the delivery of quality health care and in providing compassionate care to the patients we serve. Apply today to join our team of dedicated professionals. EOE. Drug and Tobacco Free Workplace. Accredited by the Joint Commission. The skill to heal. The spirit to care. Qualifications Requirements: 1.Registered Nurse with current Florida license. BSN preferred. 2.CCM or other Case Management certification preferred; experience with data analysis and interpretation required. 3.Five (5) years prior work experience in an acute care hospital as a Registered Nurse. 4.A minimum of one (1) year prior experience in a Case Manager or Utilization Management role. 5.Experience with PC applications required. (Such as word processing, spreadsheet and graphics) 6.Knowledge/experience with DRG and ICD-9 coding preferred. 7.Must have excellent interpersonal skills, written and oral communication skills. 8.Excellent organizational skills and high degree of self-motivation highly desirable. |