RN Case Manager EX

4 weeks ago


Hialeah, Florida, United States Steward Health Care Full time
Job Title: RN Case Manager EX

Job Summary:
As a RN Case Manager EX, you will play a vital role in ensuring the medical necessity of patient admissions and the appropriateness of continued stay. You will utilize the Interqual Criteria guidelines to perform case management activities and monitor the utilization of resources for all patients reviewed. You will maintain confidential communication with physicians and multi-disciplinary personnel to meet individual patient needs. This is an independent contributor role that requires strong communication skills, fluency in written and spoken English, and the ability to use medical records to obtain clinical information. You will also be responsible for utilizing computer-based systems, such as AllScripts, to perform reviews. A solid clinical background and experience in Medical-Surgical, Telemetry, Critical Care, and/or Pediatrics, NICU are preferred.

Key Responsibilities:
• Perform case management activities to ensure medical necessity of patient admissions and appropriateness of continued stay
• Monitor utilization of resources for all patients reviewed
• Maintain confidential communication with physicians and multi-disciplinary personnel
• Utilize Interqual Criteria guidelines to perform case management activities
• Use medical records to obtain clinical information
• Utilize computer-based systems, such as AllScripts, to perform reviews
• Possess a solid clinical background and experience in Medical-Surgical, Telemetry, Critical Care, and/or Pediatrics, NICU

Requirements:
• Current Florida RN Licensure
• Solid clinical background and experience in Medical-Surgical, Telemetry, Critical Care, and/or Pediatrics, NICU preferred
• Fluency in written and spoken English
• Strong communication skills
• Ability to use medical records to obtain clinical information
• Ability to utilize computer-based systems, such as AllScripts, to perform reviews

Equal Employment Opportunity:
We are an equal employment opportunity employer and do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and/or expression, or any other non-job-related characteristic.
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