Case Manager, RN/ Per diem/ Flexible Shift/ Case Management/ Jackson West Medical Center

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 while maintaining a high standard of care. The Case Manager RN serves 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, including physical, functional, mental, psychosocial, environmental, family support, spiritual, cultural, financial, and legal aspects.
• 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 such as 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 during team meetings, presentations, patient care rounds, interdisciplinary rounds, and discussions with administration, medical directors, and physician advisors.
• Follow and perform all 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

• Valid, unrestricted Florida RN license.
• Case Management certification (CCM or ACM) preferred.
• Must meet and maintain all unit-specific and organizational skills, competencies, certifications, and licensures as required by regulatory and nursing standards of practice.

Qualifications

• Bachelor’s degree in Nursing is required (employees hired prior to June 1, 2022, are grandfathered for the BSN degree).
• Generally requires 1 to 3 years of related experience.

Skills

General Competencies

• Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
• Effective communication in both oral and written form.
• Ability to handle difficult and stressful situations with professional composure.
• Understanding and ability to follow instructions.
• Ability to exercise sound and independent judgment.
• Knowledge and skill in using job-appropriate technology and software applications.

Management Competencies

• Knowledge of business and management principles, including strategic planning, resource allocation, human resources modeling, leadership techniques, 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 colleagues.

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.

Working Conditions

Physical Requirements

• Job function requires extended standing or walking.
• Must be able to carry objects weighing 21 to 50 pounds.
• Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices.
• Frequent visual acuity required for activities related to extended use of computers.

Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).

Environmental Conditions

• Function in a fast-paced environment with occasional high pressure, emergent, and stressful situations.
• Frequent interaction with a diverse population, including team members, providers, patients, insurance companies, and the public.
• Subject to inside environmental conditions, with occasional outdoor exposures.
• Exposure to communicable diseases, toxic substances, medicinal preparations, and other conditions common to a hospital and medical office environment.
• Potential exposure to needle sticks, airborne infections, medical gases, X-rays, chemical exposures, and other hazards.
• Must wear Personal Protective Equipment (PPE) when exposed to infectious or clinical hospital environments.

Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).