RN Case Manager

4 weeks ago


Jupiter, Florida, United States Jupiter Medical Center Full time

Jupiter Medical Center is a leading destination for world-class healthcare in Palm Beach County and the Treasure Coast.

Our team of outstanding physicians and state-of-the-art facilities enables us to provide innovative techniques and a commitment to serving the community.

We are the only hospital in Palm Beach, Martin, St. Lucie, and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).


Requirements:

Graduate of an accredited school of professional nursing, BSN preferred.

Current RN licensure in the state of Florida.

BLS Certification American Heart Association for Healthcare Providers.

3 years acute healthcare nursing experience.

Excellent interpersonal skills with patients, case management staff, physicians, insurance providers, transportation services, and peers.

Critical thinking skills and decisive judgment.

Ability to work with deadlines and multiple tasks.

Knowledge of InterQual or Milliman admission criteria.

Knowledge of Federal and State regulations.



Responsibilities:

The RN Case Manager functions as the leader of the interdisciplinary team.

Interacts with physicians, nurses, discharge planners, insurance providers, and others to ensure patients receive appropriate treatment.

Coordinates and evaluates patient needs and services.

Completes utilization review activities to ensure compliance with State, Federal, and other payor requirements.

Participates in performance improvement initiatives related to patient care.

Performs other duties as assigned.


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