RN Case Manager

1 day ago


Hialeah, Florida, United States Hialeah Hospital Full time
Hialeah Hospital Job Description

About Us
Hialeah Hospital is a leading healthcare provider in the community, dedicated to delivering high-quality patient care and services. Our team of healthcare professionals is committed to providing exceptional care and support to our patients and their families.

Job Summary
We are seeking a skilled and compassionate RN Case Manager to join our team. The successful candidate will be responsible for assessing patient care needs, monitoring utilization of resources, and ensuring timely and appropriate payment from third parties. The RN Case Manager will work closely with the interdisciplinary healthcare team to coordinate care, ensure continuity of services, and monitor variances from safety, quality, and clinical standards.

Key Responsibilities
  1. Reviews and ensures appropriate utilization of resources, alerting physicians regarding cases not meeting admission criteria, with questionable medical management, or with documentation problems.
  2. Facilitates the plan of care through the continuum from entry to discharge, collaborating with others, and managing various health interventions.
  3. Identifies needs of medical and psycho-social high-risk and resource-intensive patients. Works with Case Management staff as needed to expedite discharge.
  4. Captures, documents, and maintains current information dealing with hospital standards, the plan of care, progress, and information substantiating the need for continued stay, either manually or via computer in appropriate areas of the medical record.
  5. Identifies and acts on variances from standards of care. Assists team with identifying and resolving quality problems related to scheduling, duplicate ordering of tests/services, and significant variances from care paths.
  6. Contacts attending physician regarding UR, Resource Management, and QI issues.

Requirements
  • Graduate of a School of Nursing required
  • BSN preferred
  • Licensed as an RN in the State of Florida
  • Previous medical or psychiatric experience preferred

What We Offer
Hialeah Hospital offers a competitive salary and benefits package, including medical, dental, and vision insurance, as well as opportunities for professional growth and development. We are committed to providing a supportive and inclusive work environment that fosters collaboration and teamwork.
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