Transfer Access RN Case Manager

2 weeks ago

Cocoa Beach FL United States Health First Full time

POSITION SUMMARY:

The Transfer Access RN Case Manager provides clinical expertise, medical communication and quality assessment for the timely facilitation and coordination of all direct admits, blood transfusions and chemotherapy across the IDN. Responsibilities also include facilitation and coordination of patients transferring in or out of Health First in accordance with state and federal regulations to prevent EMTALA violations. The Transfer Access RN Case Manager will be highly effective in critical, clinical fact gathering and analysis to identify appropriate level of care, timely acceptance and specialty care needed for transport. The Transfer Access RN Case Manager employs critical thinking skills to expedite admissions and transfers, demonstrating Health First mission, vision, values and standards in all interactions with referring facilities, physicians, employees and customers.

PRIMARY ACCOUNTABILITIES:

* Coordinates direct admits, blood transfusions and chemotherapy across the IDN.
* Coordinates transportation (ground and air) for transfers across the IDN.
* Coordinates transfers between Health First facilities and other health care systems.
* Completes electronic or written orders for transfusions, direct admits and transfers.
* Creates accounts/bed requests for all direct admits, transfusions and transfers.
* Uses complex acuity algorithms for time-sensitive emergent medical events (Trauma, STEMI, Clot Alert or Code Rupture), triaging, processing transfer requests, identifying the appropriate receiving campus, and conferencing physicians for specialist acceptance.
* Identifies appropriate levels of care for placement and safe transport via ground or air.
* Assists with surgical scheduling.
* Utilizes knowledge and understanding to triage critical and non-critical patients, effectively communicating clinical updates to physicians.
* Monitors and assists with bed availability and placement, effectively communicating with PFA's, nursing staff and other health care systems.
* Effectively utilizes conference calls with admitting, sending, referring and specialty providers or APRN's.
* Maintains accurate and thorough documentation of transfers, transfer phone calls, transports and acuities.
* Gathers and analyzes information from current and past medical records.

MINIMUM QUALIFICATIONS

Licensure: Current valid license to practice as a Registered Nurse in the State of Florida.

Work Experience: Three (3) years of clinical experience.

Knowledge/Skills/Abilities:

* Demonstrated leadership skills.
* Strong analytical, data management and computer skills.
* Excellent interpersonal and negotiation skills.
* Ability to communicate effectively with customers of varied levels of understanding.
* Current working knowledge of care transitions; transfer and receipt of medical records.
* Understanding of pre and post-acute care venues and post-acute community resources.
* Ability to prioritize multiple tasks and demands.
* Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients and families.
* Excellent customer service skills with ability to promote safe and cost-efficient improvements.
* Excellent writing and presentation skills.

PREFERRED QUALIFICATIONS

Education: Bachelor's Degree in related field.

Certification: Case Manager Certification (CCM or ACM).

Work Experience: Case management experience with knowledge of utilization management and managed care reimbursement.

PHYSICAL REQUIREMENTS: Must be able to tolerate sitting or standing for long periods of time.

MENTAL DEMANDS: RN Case Manager must demonstrate critical thinking skills in all aspects of work performed and demonstrate an ability to multi-task, be flexible, organized and function under stressful situations.

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