Job Details

ED RN Case Manager 1, Utilization Management, FT, 7P-7:00A

Job: Nursing
Facility: Homestead Hospital,
Primary Location: Homestead
Job Schedule: Full-time
Job ID: 82415

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About Baptist Health South Florida:

Baptist Health South Florida ranked #25 on the list of 2018 Fortune 100 Best Companies to Work For! This is the 18th time Baptist Health has been named to the prestigious list and was listed #1 in diversity overall, #2 in the state of Florida, and #3 in healthcare organizations on the list. We have also been recognized for being among the best healthcare providers in the nation and the most awarded healthcare system in South Florida by U.S. News & World Reports in its 2018-2019 Best Hospitals report.

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with more than 19,500 employees working across ten hospital campuses, more than 40 physician practices and 50 outpatient and urgent care facilities throughout Monroe, Miami-Dade, Broward and Palm Beach counties. Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why this is the best place to be your best!

Job Description:

The purpose of the RN Case Manager position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care.  The role integrates and coordinates care facilitation and discharge planning functions while working in partnership with the UR RN and Social Work Case Manager.  The RN Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources.  Specific functions within this role include: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement; Application of process improvement methodologies in evaluating outcomes of care; Coordinating communication with the healthcare team, patients, families and post-acute care services; Readmission screening and prevention. 

Qualifications:

Minimum required experience 3 years.  Associates degree in Nursing required. RNs hired with an Associate Degree are required to complete BSN within 5 years of hire.  Current Florida RN license required. 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 prior 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. Must be willing to work three 12 hour shifts from 7PM-7AM and one 8 hour shift.

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