Case Manager Registered Nurse - Full Time

About the role

The Case Manager RN coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. They monitor care, act as a liaison between patient/family, healthcare personnel, and insurers. They evaluate patient needs, recommend and facilitate the best outcomes, develop discharge plans, identify care issues, and educate patients and families.

Responsibilities

• Maintains knowledge regarding insurance reimbursement policies.
• Promotes quality care to ensure patients receive medically appropriate services in appropriate status and stay standards.
• Facilitates ongoing insurance authorization for continued stay.
• Facilitates regulatory notifications and patient signatures per policy.
• Maintains knowledge regarding insurance reimbursement policies.
• Promotes quality care to ensure patients receive medically appropriate services in appropriate status and stay standards.
• Facilitates ongoing insurance authorization for continued stay.
• Facilitates regulatory notifications and patient signatures per policy.
• Maintains knowledge regarding insurance reimbursement policies.
• Promotes quality care to ensure patients receive medically appropriate services in appropriate status and stay standards.
• Facilitates ongoing insurance authorization for continued stay.
• Facilitates regulatory notifications and patient signatures per policy.

Requirements

• Graduate from an accredited school of nursing, Bachelor’s degree (BSN).
• Valid Florida Registered Nurse License, BLS certification from the American Heart Association required.
• Minimum 2 years of relevant experience.
• Minimum of one year in Hospital Case Management/nursing.
• Work with working knowledge of patient assessment, and medical terminology.

Qualifications

• Ability to communicate effectively in both oral and written form.
• Ability to recognize, analyze, and solve a variety of problems.
• Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
• Ability to maintain effective interpersonal relationships.

Skills

• Effective communication skills.
• Problem-solving abilities.
• Time management and prioritization skills.
• Interpersonal relationship management.

Benefits

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

Pay

Competitive salary offered.

Schedule

Full-time Employee Type: Staff