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RN Manager of Case Management

Fort Pierce, FL, United States

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Description

SHIFT: No Weekends

SCHEDULE: Full-time

Lawnwood Regional Medical Center
Fort Pierce, FL

 
Facility Description:

Lawnwood Regional Medical Center & Heart Institute is a 380-bed acute-care hospital offering a full range of services. Lawnwood is home to the most experienced Heart Institute on the Treasure Coast and offers diagnostic, interventional and therapeutic care, including open-heart surgery. Other hospital services include a 24/7 emergency department, pediatric emergency department, labor/delivery and birthing, pediatrics, orthopedics, oncology, nuclear medicine, diagnostic services, and a full range of inpatient and outpatient general surgical services. Lawnwood provides the area’s only Level III Neonatal Intensive Care Unit, Level II Trauma Center, Pediatric Intensive Care Unit and Comprehensive Stroke Center.

 

Lawnwood is accredited by The Joint Commission and designated as Certified Primary Stroke Center.  Lawnwood’s Physical Rehabilitation Center is CARF accredited and, for 11 years in a row, the hospital is a Five-Star Recipient for the Treatment of Heart Attack by Healthgrades. At Lawnwood Regional Medical Center & Heart Institute, patients come first – no matter what!

 

Lawnwood Regional Medical Center is a member of the nation’s leading provider of healthcare services, Hospital Corporation of America. HCA has been named one of Ethisphere’s World’s Most Ethical Companies for eight consecutive years. Join our tradition of excellence!

 
Benefits:

We offer a generous compensation package for Full-time and Part-time including: vacation, 401k, and Medical Insurance.


Job Description:

The RN Manager of Case Management works with physicians and other members of the multidisciplinary team to develop a plan for each patient from admission to discharge. The tasks and responsibilities include:

 
  • Performs continuous assessments and evaluations to ensure patient is progressing towards desired outcomes.
  • Assesses and responds to patient/family needs by coordinating efforts of other team members.
  • Identifies and resolves barriers that hinder effective patient care.
  • Collaborates and consults with physicians on patient's progress and discharge planning needs.
  • Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity.
  • Manages the process to review and, as appropriate, appeal denials received from payors.
  • Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient.
  • Maintains knowledge of resources and facilities available to patients and family members.
  • Collaborates with personnel at other facilities to coordinate smooth and effective patient 
  • Manages the process to review and, as appropriate, appeal denials received from payors.
  • Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient.
  • Maintains knowledge of resources and facilities available to patients and family members.
  • Collaborates with personnel at other facilities to coordinate smooth and effective patient transfers and transitions.
  • Compiles, evaluates, and reports statistics to members of the team and utilizes the information to facilitate process improvement activities.
  • Provides age and culturally appropriate care.
  • Orients and mentors new staff members.
  • Follows Standard Precautions using personal protective equipment as required.


Qualifications

Position Qualifications:
  • Current FL RN Licensure or Compact License
  • Graduate of an accredited school of professional nursing. Bachelors of Science in Nursing preferred
  • CCM preferred
  • Minimum 5 years of clinical nursing experience
  • Knowledge of CMS guidelines and experience working with payor specific guidelines and contractual rules preferred
  • Customer service abilities including effective listening skills
  • Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines
  • Assertive and persuasive communication skills, action oriented

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Lawnwood Regional Medical Center
Facility: Lawnwood Regional Medical Center
Job ID: 00102-8462
Category: Directors and Managers
Contract: Full-time
Shift: No Weekends
Job Class: Regular

Apply Now
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