What are the responsibilities and job description for the Nurse Manager - Case Management - FT - Days - MHM position at Memorial Healthcare System?
Location:
Miramar, Florida
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.
Summary
Assumes 24-hour accountability for managing the functions of Access, Care Coordination, and Discharge Planning. With the Manager - Social Work, serves as the central resource to the Director - Case Management to develop strategies which are efficient, effective, timely, patient-centered, and support appropriate financial reimbursement. To meet accountabilities of the Care Management Dashboard, collaborates with all disciplines, departments, payers, system partners, vendors, and community agencies to optimize clinical outcomes within best practice, ethical, legal, and regulatory parameters.
Responsibilities
Performs semi-annual (minimally) mock surveys, tracer reviews, Life Safety and Safety Assessments of healthcare facilities as part of the compliance process. Performs in-depth building tours using the EC/LS compliance tracking tool and Bluebeam. Assists with progress and compliance of survey results. Provides comprehensive report to senior leadership.Responsible for the Environment of Care program designed to ensure the safety of all building occupants. Includes chairing the regularly scheduled Environment of Care meetings, annual revision of EOC management plans, conducting drills, organization-wide collection of information about deficiencies and opportunities for improvement, and monitoring Life Safety, Fire Management, Security, Utility Management, Emergency Management, and Occupational Work Hazards. Reports regularly to senior leadership.Responsible for intervention whenever environmental conditions pose an immediate threat to life. Ensured ultimate authority for actions required under these circumstances.Participates and or coordinates completion of any risk assessment/ILSM due to ongoing construction projects. Regularly audits ICRA and ILSM documents for compliance and tours projects regularly with project managers.Conducts quarterly inspections of facility kitchens utilizing the Joint Commission checklist. Conducts monthly inspections of leased kitchen space within the facility and on the campus. Reports findings and action items/completion. Reports regularly to senior leadership.Assists with the compliance and readiness of all Environment of Care, Life Safety, and Emergency Management directives set forth by the Authority Having Jurisdiction (AHJ), TJC, AHCA, CMS and all other regulatory agencies. Ensures regulatory updates from these agencies are disseminated to leaders and team appropriately.Continuously strives to improve Safety, Fire Safety and Environment of Care programs through ongoing education and orientation.Conducts quarterly inspections of the campus grounds. Assists with progress and compliance of survey results. Reports regularly to senior leadership.Coordinates and/or participates in environmental tours, mock surveys, and tracer reviews as part of the compliance process. Develops action plans to correct any deficiencies that may be identified in order ensure regulatory compliance.Works with other managers to initiate appropriate actions and recommendations, based on analysis of incident reports and other information. Ensures issues, chosen by the EC Committee, are monitored and the results reported to that committee.Coordinates, attends and assists in the evaluation of Operating Room surgical fire drills (to include Surgeon and Anesthesia) at least annually. Assists with education as needed.Revises and maintains EC/LS compliance tracking tool. Regularly verifies documentation compliance either electronically or in binders, necessary for the successful completion of LS and EC surveys by the Joint Commission, CMS, AHCA, City of Hollywood and Broward County, or any accrediting agency. Meet with Facilities/Plant Operations Directors regularly to discuss deficiencies.Works with responsible individuals in conducting necessary drills that will improve the safety and security of the hospital such as infant abduction drills, and emergency management drills that are based from a completed HVA, etc.Assists Property Management in complying with TJC Environment of Care and Life Safety requirements for Medical Office Buildings under the Memorial Regional hospital licensure.
Competencies
ACCOUNTABILITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTHCARE REGULATORY ENVIRONMENT, LEADING BY COACHING, LEADING CHANGE INITIATIVES, MANAGING PEOPLE, PATIENT AND FAMILY CENTERED CARE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR
Education And Certification Requirements
Associates (Required)Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)
Additional Job Information
Complexity of Work: Responsible for day-to-day oversight and coordination of case management and discharge planning functions ensuring patient care meets quality and efficiency standards while aligning with regulatory requirements. This role requires an understanding of payer guidelines and working closely with multi-disciplinary teams to optimize patient flow. Requires critical thinking and effective communication (verbal and written) skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Knowledge of State and Federal regulations governing discharge planning conditions of participation, hospital information systems (e.g., logician and IDX), staff development techniques, and performance improvements processes. Strong background in clinical decision making, medical criteria, and discharge planning. Must be proficient with Interqual or Milliman guidelines and use. Proficient in process improvement, and performance monitoring. Required Work Experience: Minimum of three (3) years of case management experience and, at least, two (2) years of leadership experience within case management. Other Information: Additional Education Info: Graduate of an accredited Registered/Professional Nursing program or a Bachelor’s degree in Nursing (BSN).Additional Certification Info: Certification in Case Management preferred.
Working Conditions And Physical Requirements
Primarily for office workers - not eligible for shift differential
Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.
We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.
Employment is subject to post offer, pre-placement assessment, including drug testing.
If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net
Miramar, Florida
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.
Summary
Assumes 24-hour accountability for managing the functions of Access, Care Coordination, and Discharge Planning. With the Manager - Social Work, serves as the central resource to the Director - Case Management to develop strategies which are efficient, effective, timely, patient-centered, and support appropriate financial reimbursement. To meet accountabilities of the Care Management Dashboard, collaborates with all disciplines, departments, payers, system partners, vendors, and community agencies to optimize clinical outcomes within best practice, ethical, legal, and regulatory parameters.
Responsibilities
Performs semi-annual (minimally) mock surveys, tracer reviews, Life Safety and Safety Assessments of healthcare facilities as part of the compliance process. Performs in-depth building tours using the EC/LS compliance tracking tool and Bluebeam. Assists with progress and compliance of survey results. Provides comprehensive report to senior leadership.Responsible for the Environment of Care program designed to ensure the safety of all building occupants. Includes chairing the regularly scheduled Environment of Care meetings, annual revision of EOC management plans, conducting drills, organization-wide collection of information about deficiencies and opportunities for improvement, and monitoring Life Safety, Fire Management, Security, Utility Management, Emergency Management, and Occupational Work Hazards. Reports regularly to senior leadership.Responsible for intervention whenever environmental conditions pose an immediate threat to life. Ensured ultimate authority for actions required under these circumstances.Participates and or coordinates completion of any risk assessment/ILSM due to ongoing construction projects. Regularly audits ICRA and ILSM documents for compliance and tours projects regularly with project managers.Conducts quarterly inspections of facility kitchens utilizing the Joint Commission checklist. Conducts monthly inspections of leased kitchen space within the facility and on the campus. Reports findings and action items/completion. Reports regularly to senior leadership.Assists with the compliance and readiness of all Environment of Care, Life Safety, and Emergency Management directives set forth by the Authority Having Jurisdiction (AHJ), TJC, AHCA, CMS and all other regulatory agencies. Ensures regulatory updates from these agencies are disseminated to leaders and team appropriately.Continuously strives to improve Safety, Fire Safety and Environment of Care programs through ongoing education and orientation.Conducts quarterly inspections of the campus grounds. Assists with progress and compliance of survey results. Reports regularly to senior leadership.Coordinates and/or participates in environmental tours, mock surveys, and tracer reviews as part of the compliance process. Develops action plans to correct any deficiencies that may be identified in order ensure regulatory compliance.Works with other managers to initiate appropriate actions and recommendations, based on analysis of incident reports and other information. Ensures issues, chosen by the EC Committee, are monitored and the results reported to that committee.Coordinates, attends and assists in the evaluation of Operating Room surgical fire drills (to include Surgeon and Anesthesia) at least annually. Assists with education as needed.Revises and maintains EC/LS compliance tracking tool. Regularly verifies documentation compliance either electronically or in binders, necessary for the successful completion of LS and EC surveys by the Joint Commission, CMS, AHCA, City of Hollywood and Broward County, or any accrediting agency. Meet with Facilities/Plant Operations Directors regularly to discuss deficiencies.Works with responsible individuals in conducting necessary drills that will improve the safety and security of the hospital such as infant abduction drills, and emergency management drills that are based from a completed HVA, etc.Assists Property Management in complying with TJC Environment of Care and Life Safety requirements for Medical Office Buildings under the Memorial Regional hospital licensure.
Competencies
ACCOUNTABILITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTHCARE REGULATORY ENVIRONMENT, LEADING BY COACHING, LEADING CHANGE INITIATIVES, MANAGING PEOPLE, PATIENT AND FAMILY CENTERED CARE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR
Education And Certification Requirements
Associates (Required)Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)
Additional Job Information
Complexity of Work: Responsible for day-to-day oversight and coordination of case management and discharge planning functions ensuring patient care meets quality and efficiency standards while aligning with regulatory requirements. This role requires an understanding of payer guidelines and working closely with multi-disciplinary teams to optimize patient flow. Requires critical thinking and effective communication (verbal and written) skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Knowledge of State and Federal regulations governing discharge planning conditions of participation, hospital information systems (e.g., logician and IDX), staff development techniques, and performance improvements processes. Strong background in clinical decision making, medical criteria, and discharge planning. Must be proficient with Interqual or Milliman guidelines and use. Proficient in process improvement, and performance monitoring. Required Work Experience: Minimum of three (3) years of case management experience and, at least, two (2) years of leadership experience within case management. Other Information: Additional Education Info: Graduate of an accredited Registered/Professional Nursing program or a Bachelor’s degree in Nursing (BSN).Additional Certification Info: Certification in Case Management preferred.
Working Conditions And Physical Requirements
- Bending and Stooping = 0%
- Climbing = 0%
- Keyboard Entry = 80%
- Kneeling = 0%
- Lifting/Carrying Patients 35 Pounds or Greater = 40%
- Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
- Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
- Lifting or Carrying > 75 lbs Non-Patient = 0%
- Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
- Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
- Pushing or Pulling > 75 lbs Non-Patient = 0%
- Reaching = 60%
- Repetitive Movement Foot/Leg = 0%
- Repetitive Movement Hand/Arm = 80%
- Running = 0%
- Sitting = 80%
- Squatting = 0%
- Standing = 80%
- Walking = 80%
- Audible Speech = 80%
- Hearing Acuity = 80%
- Smelling Acuity = 0%
- Taste Discrimination = 0%
- Depth Perception = 80%
- Distinguish Color = 80%
- Seeing - Far = 60%
- Seeing - Near = 80%
- Bio hazardous Waste = 60%
- Biological Hazards - Respiratory = 60%
- Biological Hazards - Skin or Ingestion = 60%
- Blood and/or Bodily Fluids = 60%
- Communicable Diseases and/or Pathogens = 60%
- Asbestos = 0%
- Cytotoxic Chemicals = 0%
- Dust = 60%
- Gas/Vapors/Fumes = 60%
- Hazardous Chemicals = 60%
- Hazardous Medication = 40%
- Latex = 60%
- Computer Monitor = 80%
- Domestic Animals = 60%
- Extreme Heat/Cold = 40%
- Fire Risk = 0%
- Hazardous Noise = 0%
- Heating Devices = 0%
- Hypoxia = 0%
- Laser/High Intensity Lights = 0%
- Magnetic Fields = 0%
- Moving Mechanical Parts = 0%
- Needles/Sharp Objects = 60%
- Potential Electric Shock = 0%
- Potential for Physical Assault = 60%
- Radiation = 0%
- Sudden Decompression During Flights = 0%
- Unprotected Heights = 0%
- Wet or Slippery Surfaces = 60%
Primarily for office workers - not eligible for shift differential
Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.
We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.
Employment is subject to post offer, pre-placement assessment, including drug testing.
If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net
