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RN Case Management Specialist
2 months ago
Current Employees:
If you are a current Staff, Faculty or Temporary employee at UHealth Tower, please log in to Workday to utilize the internal application process.
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Work Location :
UHealth Tower
UHealth Tower presents an exciting opportunity for a Registered Nurse Case Manager within the Case Management department.
This role operates as a Registered Nurse Case Manager under the supervision of the Director of Case Management.
- Integrates essential principles of utilization management, overseeing resource use, social services intervention, and individual discharge planning, ensuring that patient transfers or discharges align with assessed needs and organizational capabilities.
- Facilitates the provision of clinical and community services to patients and families through effective resource utilization.
- Manages observation patients within the assigned unit, conducts InterQual reviews for admissions and continued stays as per policy, reports avoidable days, and coordinates clinical reviews with third-party payors.
- Ensures the appropriateness and cost-effectiveness of patient care plans, reporting complex cases to the Director and/or Care Coordination Manager as necessary.
- Proactively collaborates with physicians to develop patient care plans and assess medical necessity for ongoing hospital services and resource use.
MINIMUM QUALIFICATIONS:
- BSN graduate from an accredited nursing program.
- Valid RN license in the State of Florida.
- At least one (1) year of experience in Hospital Case Management or nursing.
- Working knowledge of patient assessment and medical terminology.
- Current BLS - CPR Certification.
As South Florida's only university-based health system, UHealth Tower provides leading-edge patient care powered by groundbreaking research and medical education.
As an academic medical center, we proudly serve South Florida, Latin America, and the Caribbean, with our physicians representing over 100 specialties and sub-specialties, conducting more than one million patient encounters annually. Our tradition of excellence has earned global recognition for outstanding teaching, research, and patient care.Job Status:
Full time
Employee Type:
Staff
Pay Grade:
H11
