RN Case Manager - Full time

About the Organization

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast. Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Qualifications

• Graduate of an accredited school of professional nursing, BSN preferred
• Current RN licensure in the state of Florida
• BLS Certification (American Heart Association for Healthcare Providers)
• 3 years acute health care nursing experience
• Knowledge of InterQual or Milliman admission criteria
• Knowledge of Federal and State regulations

About the Role

The RN Case Manager functions as the leader of the interdisciplinary team. The RN Case Manager interacts via phone and face to face with the physicians, nurses, discharge planners, insurance providers and others to ensure the patient receives the appropriate and necessary treatment in the correct admission status. Assesses, plans, coordinates, and evaluates the needs and services of the patient. Coordinates and completes utilization review activities to ensure compliance with State, Federal and other payor requirements. Participates in performance improvement initiatives related to the management of patient care as appropriate. Performs other duties as assigned.

Responsibilities

• Lead the interdisciplinary team in case management activities
• Assess, plan, coordinate, and evaluate patient needs and services
• Ensure appropriate and necessary treatment in the correct admission status
• Complete utilization review activities to ensure compliance with State, Federal, and other payor requirements
• Participate in performance improvement initiatives related to patient care management

Skills

• Excellent interpersonal skills with patients, case management staff, physicians, insurance providers, transportation services, and peers
• Critical thinking and decisive judgment
• Ability to work with deadlines and multiple tasks
• Establishing relationships and building effective networks
• Providing peer support and guidance
• Inspiring and motivating others
• Demonstrating emotional intelligence and self-regulation
• Acting with integrity and maintaining confidentiality
• Being a champion for change and innovation
• Communicating effectively, both verbally and in writing
• Promoting diversity and inclusion

Physical Requirements

• Hand and Wrist: Grip a dynamometer for 10 seconds with a force > 10 lbs; pinch together the thumb & forefinger for 10 seconds with a force > 2 lbs (test both left and right sides)
• Supported Elbows: Rotate wrist from left to right while holding a 10 lb. weight; fully flex and extend elbow while holding a 10 lb. weight (test both left and right sides)
• Shoulders: Sustain shoulder flexion > 135 degrees while holding a 10 lb. weight; sustain a shoulder shrug while holding a 10 lb. weight in each hand (test both left and right sides)
• Squat and hold position for 30 seconds
• Kneel on a single knee (demonstrated on either left or right knee)
• Push and Pull: Push a stationary loaded cart with a pushing force of 40 lbs; pull a stationary loaded cart with a pulling force of 40 lbs
• Carrying: Carry a 20 lb. weight for a distance of 25 feet
• Lifting: Weight lifted during lift test (35 lbs for female, 50 lbs for male); floor to table, waist to above shoulder height (20 lbs requirement)

Threshold Requirements

• Annual Joint Commission mandatory education requirements, in-service, and health requirements including attendance at new employee orientation
• TB/PPD Surveillance Program
• Maintenance of required professional licensing and/or certification(s)