RN Case Manager - FT - Days - $10K Sign on Bonus - MRH

About the Role

The RN Case Manager coordinates the care and service of patient populations from admission through discharge, working collaboratively with inter-disciplinary teams to build a comprehensive case management plan. This role focuses on effective care coordination, utilization of healthcare resources, and achieving desired clinical and financial goals.

Responsibilities

• Identifies and addresses patients with frequent ED use for non-urgent care or high hospital admission rates.
• Provides support for other entry points, including responding to requests about status in the PACU and supporting the Care Coordination Center in decision-making.
• Screens all ED patients with potential for admission, identifying payer source.
• Develops working relationships with community health resources to improve outpatient access to healthcare for the ED population.
• Tracks clinic patients' frequency of ED use for non-acute care and provides options for future non-acute care.
• Identifies barriers to clinic access.
• Supports appropriate medical record documentation.
• Performs utilization management responsibilities, determining appropriate admission status using criteria-based review.
• Assigns appropriate admitting status (observation vs. admit).
• Works with multi-visit patients to offer community resources or refer to ED Social Work for social service organizations.
• Provides discharge planning, identifying services or options for placement for ED patients.
• Identifies high-risk patients at greater risk for recurrent ED visits.
• Works with attending/ED medical staff to assign appropriate designations.

Qualifications

• Accredited Program: Nursing (Required)
• Basic Life Support (BLS) Healthcare Provider certification required upon hire.
• Registered Nurse License (RN LICENSE) - State of Florida (FL) or Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate.

Skills

• Critical thinking skills
• Effective communication
• Decisive judgment
• Ability to build and foster positive relationships
• Leadership skills
• Ability to provide education and resources to patients, families, and healthcare teams

Experience

Minimum one (1) year of experience in a hospital-based Case Management practice or five (5) years in Healthcare.

Working Conditions and Physical Requirements

This role involves significant time spent on keyboard entry, sitting, standing, and walking. Physical requirements include lifting/carrying patients up to 35 pounds and non-patient items up to 25 pounds. Exposure to biological hazards, blood/bodily fluids, and communicable diseases is expected.

Location: Hollywood, Florida

Additional Information: Graduate of an accredited Registered/Professional Nursing Program. This role requires the ability to work in a fast-paced environment, manage multiple priorities, and maintain a high level of professionalism.