RN Case Manager in Aventura, Florida, United States
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HCA Florida Aventura Hospital

RN Case Manager

Aventura, FL, United States
Part-time • Days < 7 Hrs/Wkends Only
Case Management   Job ID: 190653
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Description

RN Case Manager
Case Management Department
Part-time, Day Shift (Weekends Only), 0.5 FTE
HCA Florida Aventura Hospital
Aventura, FL
 
Facility Description:
HCA Florida Aventura Hospital, a facility of HCA Healthcare’s East Florida Division, is a fully accredited 407-bed acute care medical surgery hospital providing award-winning procedures. Leveraging the latest technologies and treatment protocols, Aventura meets both the elective and emergency healthcare needs of its neighboring communities and international visitors. HCA Florida Aventura Hospital is designated a Level II Trauma Center by the Florida Department of Health and is certified as a Thrombectomy-Capable Stroke Center by the Joint Commission. Aventura’s Comprehensive Community Cancer Program is accredited by the American College of Surgeons Commission on Cancer and they are an American College of Radiology accredited Breast Imaging Center of Excellence.
 
Ideally located in luxurious South Florida, HCA Florida Aventura Hospital is home to a community rich in diversity and infused with world class culture. A prime location - nestled between Miami and Ft. Lauderdale - means you will be surrounded by the very best South Florida has to offer!
 
Benefits
We are committed to providing our employees with the support they need. At HCA Florida Aventura Hospital, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:
  • Student Loan Repayment*
  • Tuition Reimbursement/Assistance Programs*
  • Paid Personal Leave
  • 401k (100% annual match – 3% to 9% of pay based on years of service)
  • Identity Theft Protection discounts
  • Auto, Home, and Life Insurance options
  • Adoption Assistance
  • Employee Stock Purchase Program (ESPP)*
*If applicable, please refer to the CBA or the local HR office to confirm if this benefit applies to your position.
 
Job Description:
The RN CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.
 
Responsibilities:
  • Provides case management services for both inpatient and observation patients assigned.
  • Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
  • Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family.
  • Reassesses the patient’s clinical condition as indicated. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community-based resources.
  • Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition.
  • In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate.
  • Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goal.
  • Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command.
  • Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease states.
  • Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team.
  • Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies.
  • Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources.

  • RN with current state licensure. BSN Bachelor’s prepared preferred.
  • 5 years of nursing experience with 2 years critical care or 3 years nursing experience with 2 years case management experience preferred.
  • Certification in case management, nursing, or utilization review preferred.
  • InterQual experience, preferred.

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Details

Case Management
Part-time • Days < 7 Hrs/Wkends Only

COVID-19 Vaccination

In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations, or to have applied for a medical or religious exemption (including booster for California).

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