Job Description
Job Description
PRN Case Manager – Acute Hospital
West Greater Orlando Area, Florida
The RN Case Manager collaborates with patients, families, social workers, nurses, physicians, and interdisciplinary teams to ensure patient-centered Care Coordination. In the RN Case Manager role, it focuses on efficient, cost-effective care, smooth transitions, and patient satisfaction. The RN Case Manager is supervised by the Care Management Supervisor / Manager and is pivotal in discharge planning, Transitions of Care, and ensuring regulatory compliance.
Qualifications :
- Registered Nurse (RN) with acute hospital nursing experience required
- Associate Degree in Nursing (ADN) required
- Prior hospital experience in Care / Utilization Management in an Acute Hospital Setting required
- Bachelor's or Master's in Nursing (BSN / MSN) preferred
- Certification in Case Management (CCM / ACM) preferred
Responsibilities :
Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and proceduresInterviews patient and involved care givers as well as a review of the current and past inpatient and outpatient medical record in the Initial EvaluationReviews necessary patient information including labs, medications, History and Physical, Therapy notes, ED notes, test results and progress notesIncorporates the patient / family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary teamMeets with patient / families to discuss realistic and appropriate discharge options and providers of post-hospital careIncorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patientIdentifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievementCollaborate with the multidisciplinary healthcare team daily in multidisciplinary rounds to efficiently communicate and facilitate high quality patient progression of care and transitions plansEvaluates the potential for readmissions throughout the patient stay through the monitoring of each patient's readmission risk scores and coordinating readmission mitigation interventionsConsults Social Work for specialty services related to psychosocial needs, decision making needs for patients who lack capacity, patient / family adjustment needs and psychosocially complex casesDevelops discharge plan with appropriate contingency plans throughout the hospital stay to enable adaptation to evolving patient care needs and ensure timely Care CoordinationAssists with End-of-Life conversation, Living Wills, Advance Directives, Power of Attorney, Community DNRFacilitates patient care conferences with multidisciplinary teamEstablishes and documents, based on the predicted DRG and multidisciplinary team member's input, Anticipated Date of Transition (ADOT) and destination and updatesActively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patientsProactively identifies patients who no longer meet medical necessity and escalates potential denials, documents avoidable days, and facilitates progression of careCollaborates with Utilization Management staff for collaboration on patient status changes and medical necessity discussionsEnsure patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice, and Beneficiary Notice Letter (BNL)Promotes individual professional growth and development by meeting requirements for mandatory / continuing education, skills competency, supports department-based goals which contribute to the success of the organizationFor our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https : / / www.HealthcareRecruitmentPartners.com / Careers.
If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.
Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292
Michelle@HCRecruiter.com
https : / / www.HealthcareRecruitmentPartners.com
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