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RN Case Manager

1 month ago

Naples, Florida, United States NCH Healthcare Full time

About NCH Healthcare

NCH Healthcare is a leading provider of comprehensive care in Southwest Florida. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout the region.

Job Summary

The RN Case Manager serves as a patient advocate, supporting and guiding patients, families, and caregivers as they navigate their health and wellness journeys. The RN Case Manager is responsible for developing and implementing patient care plans, ensuring efficient throughput, and facilitating safe and appropriate discharge plans.

Key Responsibilities

  • Screen patients for clinical, psychosocial, financial, and other factors
  • Evaluate patient/family/caregiver level of understanding and engagement
  • Arrange services among community agencies, providers, and patients/families/caregivers
  • Provide patients/families/caregivers with available tools and resources
  • Develop clinically appropriate and focused patient care plans
  • Facilitate bi-directional communication to enhance handover of care
  • Identify available community resources and potential partners
  • Maintain knowledge of and ensure compliance with federal, state, local, and accreditation requirements
  • Ensure patients are in the appropriate status, level of care, and length of stay for their clinical condition
  • Identify and address avoidable delay practice patterns
  • Educate patients/families/caregivers on the financial impact of their care options
  • Track avoidable delays and days as well as over/under utilization of resources
  • Provide clinical information necessary for the appeals process of cases
  • Participate in the development of performance improvement activities
  • Actively collaborate with utilization review teams
  • Recognize situations requiring referral to quality or risk management

Requirements

Minimum of Associate Degree in Nursing required; BSN preferred. Minimum of 1 year of discharge planning, case management, managed care, or Registered Nurse experience in a medical setting. Licensed as a Registered Nurse (RN) in the state of Florida. Basic Life Support (BLS) certification required from the American Red Cross or American Heart Association. Case Management Certification preferred.