RN Case Manager

2 days ago


Miami, Florida, United States The University of Miami Full time
Job Summary

We are seeking a highly skilled RN Case Manager to join our team at the University of Miami/UHealth. As a RN Case Manager, you will be responsible for providing exceptional patient care and ensuring the appropriateness and cost-effectiveness of patient plans of care.

Key Responsibilities
  • Facilitate delivery of clinical and community services to patients and families through effective utilization of available resources.
  • Manage the observation of patients on assigned units, conduct InterQual reviews for admission, and continued stay per policy, report avoidable days and facilitate clinical reviews to third-party payors.
  • Proactively collaborate with physicians to develop patient care plans and review for medical necessity for continued hospital services and resource consumption.
  • Ensure the appropriateness and cost-effectiveness of patient plans of care.
Requirements
  • BSN graduate of an accredited school of nursing.
  • Valid State of Florida RN license.
  • Minimum of one (1) year in Hospital Case Management/nursing.
  • Working knowledge of patient assessment, medical terminology.
  • Current BLS - CPR Certification.
What We Offer

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the groundbreaking research and medical education at the Miller School of Medicine.


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