- Graduate of an accredited School of nursing is required. BSN and CCM preferred.
- Minimum of two (2) years acute hospital clinical experience is required.
- Recent experience in case management, utilization review, discharge planning, ongoing monitoring and evaluation of patient care delivery process is necessary.
- Must be self-directed, assertive and creative in problem solving, systems planning and patient care management in high volume work environment.
- Ability to work effectively, collaboratively with multi-disciplinary teams in multiple environment is necessary.
- Florida RN license required
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Virgin Voyages Fort Lauderdale, United StatesWe're on the hunt for an epic human to lead our Care Team to ensure that when an unlikely emergency occurs, we have a dedicated focus on supporting our Crew (employees) and Sailors (customers). This includes, but is not limited to program development and growth, training, maintai ...
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iraLogix Fort Lauderdale, United States**IRA****LOGIX****i**s changing the way people save for retirement by providing high-quality technology-driven improvements to the Retirement and IRA industry overall. As a rapidly growing leader in the financial services world, IRALOGIX offers a groundbreaking approach to helpin ...
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RN Medical Care Manager
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RN - Acute Care Manager (Hospital)
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Holy Cross Family Practice Fort Lauderdale, United StatesCompany DescriptionHoly Cross Hospital in Fort Lauderdale, Florida is a full-service, non-profit Catholic hospital, sponsored by the Sisters of Mercy and a member of Trinity Health.Job Description*****On-Site Not Remote: Per Diem Open PositionsPerform focused Utilization Review a ...
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Tree Care Manager
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Yellowstone Landscape Group Fort Lauderdale, United StatesDo you love the outdoors? Spending time marveling at nature's beauty surrounded by neatly trimmed hedges and healthy trees? If you answered yes, then Yellowstone Landscape could be the place for you As an Arbor Department Manager you'll feel right at home in your "field" office, ...
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Cano Health Fort Lauderdale, United StatesIt's rewarding to be on a team of people that truly believe in making an impactWe are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryPerform care management for patients with complex and chronic ca ...
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Manager, Primary Care
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Manager, Primary Care
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Broward Health Fort Lauderdale, United StatesBroward Health Physician Group · Shift: Shift 1 · FTE: · Summary: · Oversees operational management of physician practices for primary care operations. Manages all practices within the organization beginning at the time of physician recruitment. Assists COO and physician service ...
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Care Manager WFH
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RN Medical Care Manager
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AIDS Healthcare Foundation Fort Lauderdale, FL, United StatesRN Medical Care Manager · AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation · If so, AIDS Healthcare Foundation is the place for you · Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nati ...
RN - Acute Care Manager (Hospital) - Fort Lauderdale, United States - Holy Cross Hospital
Description
Job Description
Job DescriptionCompany DescriptionHoly Cross Hospital in Fort Lauderdale, Florida is a full-service, non-profit Catholic hospital, sponsored by the Sisters of Mercy and a member of Trinity Health.
Job Description*****On-Site Not Remote: Per Diem Open Positions
Perform focused Utilization Review applying criteria such as MCG, InterQual's ISD-A, or payer- specific criteria. Determine level of care and fiscal impact. Provide information to payers to achieve maximum reimbursement. Address over and underutilization of hospital resources concurrently, including issuance of appropriate notices.
*Conducts intermittent chart reviews for all patients admitted to ensure that patients meet level of care for admission and continuing care.
Demonstrates the application of MCG criteria, as an integrated monitor to ensure adequate clinical documentation for appropriate Length of Stay.
*Provides clinical data as part of the telephonic or electronic review process to external parties (as required) to ensure continued stay authorizations.
*Coordinates Physician Advisor referrals when there are concerns regarding meeting level of care criteria (utilizing MCG). Reviews PA referrals with department manager.
*Demonstrates the application of MIDAS utilization for admission reviews and continued stay documentation.
*Demonstrates knowledge of managed care and third party payor regulations including Medicare and Medicaid level of care standards and requirements.
*Participates in hospital and/or department committees or teams as requested or appointed by the department manager
QualificationsJob Requirements:
Education:
Experience & Skills:
Licensure/Certification:
All your information will be kept confidential according to EEO guidelines.
RN - Acute Care Manager (Hospital) professionals in Fort Lauderdale
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Caroline Morano Hillman
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