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Manager of Case Management
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Case Manager I
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Case Manager Supervisor
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registered nurse case manager ed, case management, pt, 7p-7:30a - South Miami, FL , USA, United States - Baptist Health South Florida
Description
Increases 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.Estimated salary range for this position is $ $ / year depending on experience.
Degrees:
Associates
Licenses & Certifications:
Registered Nurse
ANCC Nursing Case Management
RNCB Certified Rehabilitation Registered Nurse
ABMCM Certified Managed Care Nurse
NACCM Care Manager Certified
CDMS Certified Disability Management Specialist
ACMA ACM Certification
NBCC Certification in Continuity of Care, Advanced
CCMC Case Manager
Additional Qualifications:
RNs hired prior to 2/2012 with an Associate Degree are not required to have a BSN to continue their non-leadership role as an RN, however, required to complete the BSN within 5 years.
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:
3
