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Registered Nurse Case Manager

HCA East Florida Division Type Full time Posted 5/2/2014
Salary - n/a - Starts 9/19/2014
FL - Florida (All) - Miami Referral - n/a -    
Job Description

Registered Nurse Case Manager(Job Number: 01356-5024)

Work Location: United States-Florida-Miami-Kendall Regional Medical Center - Kendall
Schedule: Full-time

Description

Facility Description:
Kendall Regional Medical Center is a 412-bed, full-service hospital providing 24-hour comprehensive medical, trauma, burn, surgical, behavioral health and diagnostic services, along with a wide range of patient and community services. Kendall Regional Medical Center has been honored by being nationally recognized with many prestigious awards and accolades, including: Thomson Reuters 100 Top Hospitals, a HealthGrades Distinguished Hospital (Top 5%) for Clinical Excellence, The Joint Commission Certification as a Primary Stroke Center, accredited Chest Pain Center with PCI, and most recently, by the Joint Commission as a "Top Performer" on key quality measures.

Isn't it time you were offered a competitive salary and an exceptional benefits package that complements your lifestyle? Join the team at Kendall Regional Medical Center. Our award-winning hospital fosters an atmosphere that constantly rewards our nurses and clinical professionals for their commitment, while encouraging them to maintain a healthy lifestyle outside of work!

Kendall Regional Medical Center is a member of the nation's leading provider of healthcare services, Hospital Corporation of America. HCA Ranks on Fortune's list of Most Admired Companies for three consecutive years. In addition, HCA has also been named one of Ethisphere's World's Most Ethical Companies for four consecutive years. Join our tradition of excellence!
Benefits:
We offer a generous compensation package for Full-time and Part-time including: vacation, 401k, and Medical Insurance.

Job Description:

The RN Case Manager works with physicians and other members of the multidisciplinary team to develop a plan for each patient from admission to discharge. The tasks and responsibilities include:

  • Performs continuous assessments and evaluations to ensure patient is progressing towards desired outcomes.
  • Assesses and responds to patient/family needs by coordinating efforts of other team members.
  • Identifies and resolves barriers that hinder effective patient care.
  • Collaborates and consults with physicians on patient's progress and discharge planning needs.
  • Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity.
  • Manages the process to review and, as appropriate, appeal denials received from payors.
  • Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient.
  • Maintains knowledge of resources and facilities available to patients and family members.
  • Collaborates with personnel at other facilities to coordinate smooth and effective patient transfers and transitions.
  • Compiles, evaluates, and reports statistics to members of the team and utilizes the information to facilitate process improvement activities.
  • Provides age and culturally appropriate care.
  • Orients and mentors new staff members.
  • Follows Standard Precautions using personal protective equipment as required.


Qualifications

Required Job Qualifications include:

  • Current licensure as an RN
  • Graduate of an accredited school of professional nursing. Bachelor's of Science in Nursing preferred.
  • CCM preferred
  • Minimum 5 years of clinical nursing experience.
  • Knowledge of CMS guidelines and experience working with payor specific guidelines and contractual rules preferred.
  • Customer service abilities including effective listening skills.
  • Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines.
  • Assertive and persuasive communication skills, action oriented.
  • Keywords: Registered Nurse, RN, Nurse, Nursing, Case Manager, Case Management
  • PI83466555