Case Manager, RN

Jackson Memorial Hospital is the flagship hospital for Jackson Health System and has been a beacon of medical excellence and community care for more than a century. Located in the heart of Miami, it is a world-class academic medical center with a proud mission and proven success. The hospital is an accredited, tertiary teaching hospital with 1,500 licensed beds, providing nearly every medical specialty through a multidisciplinary team of healthcare professionals.

About the role

The Case Manager RN is a professional member of the healthcare team with 24/7 accountability for coordinating, monitoring, and managing patient care resources. This role ensures the efficient delivery of patient care services at the appropriate level of care while maintaining a high standard of care. The Case Manager RN acts as a resource for staff in defining, educating, implementing, and evaluating patient care and nursing practice standards using the nursing process, case management, utilization management, disease management, education, quality improvement, clinical practice, and healthcare trends.

Responsibilities

• Assess complex patient care needs, situations, and acuity levels, gathering significant data from physical, functional, mental, psychosocial, environmental, family support, spiritual, cultural, financial, and legal assessments.
• Coordinate patient care throughout an episodic or continuous course of care for specific DRGs, diagnoses, procedures, or populations using InterQual, Millikan, or other evidence-based criteria and guidelines.
• Complete electronic documentation for case management activities, including discharge planning, patient throughput, appropriate level of care, and communication with physicians, nursing staff, and patients/family members.
• Articulate information pertinent to clinical condition, length of stay (LOS), discharge delays, outcomes, resource utilization, and discharge planning at team meetings, presentations, patient care rounds, interdisciplinary rounds, and to administration, medical directors, and physician advisors.
• Follow and perform all related unit-specific policies and procedures as detailed in the unit-specific competency checklist.
• Utilize job and unit-specific equipment as required.
• Demonstrate behaviors of service excellence and CARE values (Compassion, Accountability, Respect, and Expertise).
• Perform all other related job duties as assigned.

Requirements

• Bachelor’s degree in Nursing is required (employees hired prior to June 1, 2022, are grandfathered for the BSN degree).
• Valid, unrestricted Florida RN license.
• Case Management certification (CCM or ACM) is preferred.
• Must meet and maintain all unit-specific and organizational skills, competencies, certifications, and licensures as required by regulatory and nursing standards of practice.
• Generally requires 1 to 3 years of related experience.

Skills

General Competencies

• Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
• Ability to communicate effectively in both oral and written form.
• Ability to handle difficult and stressful situations with professional composure.
• Ability to understand and follow instructions.
• Ability to exercise sound and independent judgment.
• Knowledge and skill in the use of job-appropriate technology and software applications.

Management Competencies

• Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership techniques, production methods, and coordination of people and resources.
• Skill in monitoring and assessing performance to make improvements or take corrective action.
• Skill in using logic and reasoning to identify strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
• Ability to plan, implement, and evaluate programs.
• Ability to establish goals and objectives.
• Ability to recognize, analyze, and solve a variety of problems.

Nursing Competencies

• Ability to understand, respect, and accommodate patients' preferences and needs regarding their individual beliefs, customs, and practices.
• Ability to clearly, accurately, and effectively provide information to doctors, nurses, patients, and family members.
• Ability to show compassion, patience, and maintain a non-judgmental approach to patients, their families, and other employees and customers.

Unit-Specific Competencies

• Must have clinical knowledge, skill, and ability to fully and accurately complete all required unit competencies as indicated in the unit competency checklist.
• Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership techniques, production methods, and coordination of people and resources.
• Skill in monitoring and assessing performance to make improvements or take corrective action.
• Skill in using logic and reasoning to identify strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
• Ability to plan, implement, and evaluate programs.
• Ability to establish goals and objectives.
• Ability to recognize, analyze, and solve a variety of problems.

Schedule

Full-Time, Days