RN Case Manager

2 weeks ago


Titusville, Florida, United States Parrish Healthcare Full time
About the Role

Parrish Healthcare is a leading healthcare provider seeking an experienced RN Case Manager to join our team. In this role, you will play a critical part in delivering high-quality patient care and ensuring seamless transitions from hospital to home.

Job Summary

The successful candidate will possess excellent clinical skills, strong communication abilities, and a passion for delivering exceptional patient experiences. As an RN Case Manager, you will be responsible for coordinating total plan of patient care from admission to discharge, utilizing your expertise to ensure efficient and effective utilization review, initial assessments, and discharge planning.

Key Responsibilities
  • Assess and evaluate patient plans of care within 24 hours of admission and at least every 96 hours, using Milliman criteria to determine appropriate patient status and medical necessity of hospital admission.
  • Document and convey necessary information regarding patient admission and continued hospitalization to various payors for authorization and reimbursement purposes.
  • Collaborate with physician advisors when unable to resolve issues with attending physicians.
  • Meet with patients and/or family/personal representatives to assess, evaluate, and identify discharge needs, providing support and information as needed.
  • Collaborate with physicians and other healthcare team members to develop, plan, and facilitate safe and realistic discharge plans, adjusting as needed throughout patient hospitalization.
Requirements
  • Bachelor's or Associate's Degree in Nursing required.
  • 2-3 years of relevant work experience.
  • State of Florida RN License required.
Benefits

Parrish Healthcare offers a comprehensive benefits package, including health, dental, and vision insurance, 403(b) retirement program, tuition reimbursement/educational assistance, EAP, flex spending, accident, critical, and other applicable benefits. Employees are also eligible for annual accrual of 152 personal leave bank (PLB) hours.

About Parrish Healthcare

Parrish Healthcare is a caring community of healthcare professionals passionate about excellence and fulfilling our mission of providing Healing Experiences For Everyone All The Time. We have a Culture of Choice, empowering people to aspire to be their very best by partnering talented individuals with the right resources and direction to achieve superior results on behalf of the communities we serve.



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