ED RN Case Manager, Care Coordination,$9,000 Bonus, Bethesda East, FT, 7A-5:30P - Case Management
Company: Baptist Hospital of Miami
Location: Boynton Beach
Posted on: May 16, 2022
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Job Description:
ED RN Case Manager, Care Coordination,$9,000 Bonus, Bethesda
East, FT, 7A-5:30PIncreases patient throughput to the most
appropriate level of care while facilitating interdisciplinary care
across the continuum while maintaining regularity compliance. The
role Integrates, coordinates care facilitation throughput while
working in partnership with the healthcare team. Is accountable for
prioritizing, reviewing cases to determine the appropriateness of
pre-admission, admission utilizing payer established criteria
Assisting in identifying appropriate patient status and level of
care. Identify readmissions managing per policy. Identify possible
inappropriate hospitalizations and collaborate with the healthcare
team to facilitate alternate Level of Care. Assist in identifying
physician and staff documentation opportunities to support Quality
and Pay for Performance indicators.
Degrees: Associates Licenses & Certifications: ACMA ACM
Certification CCMC Case Manager CDMS Certified Disability
Management Specialist CCM Case Management Administrator
Certification NACCM Care Manager Certified ABMCM Certified Managed
Care Nurse RNCB Certified Rehabilitation Registered Nurse NBCC
Certification in Continuity of Care, Advanced ANCC Nursing Case
Management Registered Nurse Additional Qualifications: RNs hired
prior to 10/1/2017 with an Associate Degree are not required to
have a BSN to continue their non-leadership role as an RN, however,
they are required to complete the BSN within 5 years of job entry
date. A Case Management Certification 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 or Utilization
management review 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 preferred. Understanding of pre-acute and
post-acute venues of care and post-community resources preferred.
Strong organizational and time management skills. Ability to work
independently and exercise sound judgment. Ability to prioritize
and manage multiple high-risk, complex patients. Ability to work
with multiple members of a care team and maintain positive working
relationships. Demonstrate the ability to solve problems in a
fast-paced environment. Minimum Required Experience: 2 years
Keywords: Baptist Hospital of Miami, Boynton Beach , ED RN Case Manager, Care Coordination,$9,000 Bonus, Bethesda East, FT, 7A-5:30P - Case Management, Healthcare , Boynton Beach, Florida
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