Transfer Access RN Case Manager - Access Center

About the Role

The Transfer Access Registered Nurse (RN) Case Manager provides clinical expertise, medical communication, and quality assessment for the timely facilitation and coordination of all direct admits, blood transfusions, and chemotherapy across the Health First Integrated Delivery Network (IDN). This role ensures compliance with state and federal regulations to prevent EMTALA violations while coordinating patient transfers in or out of Health First. The Transfer Access RN Case Manager employs critical thinking to identify appropriate levels of care, expedite admissions and transfers, and demonstrate Health First’s mission, vision, values, and standards in all interactions.

Responsibilities

• Coordinates direct admits, blood transfusions, and chemotherapy across the IDN.
• Manages transportation (ground and air) for transfers across the IDN.
• Organizes transfers between Health First facilities and other healthcare systems.
• Completes electronic or written orders for transfusions, direct admits, and transfers.
• Creates accounts and bed requests for all direct admits, transfusions, and transfers.
• Uses complex acuity algorithms for time-sensitive emergent medical events (e.g., Trauma, STEMI, Clot Alert, or Code Rupture) to triage, process transfer requests, identify the appropriate receiving campus, and conference physicians for specialist acceptance.
• Identifies appropriate levels of care for placement and safe transport via ground or air.
• Assists with surgical scheduling.
• Utilizes knowledge and understanding to triage critical and non-critical patients, effectively communicating clinical updates to physicians.
• Monitors and assists with bed availability and placement, communicating with PFAs, nursing staff, and other healthcare systems.
• Harnesses conference calls effectively with admitting, sending, referring, and specialty providers or APRNs.
• Maintains accurate and thorough documentation of transfers, transfer phone calls, transports, and acuities, gathering and analyzing information from current and past medical records.

Requirements

• Associate’s degree in Nursing (ASN) or Nursing Diploma.
• Three (3) years of clinical experience.
• Registered Nurse (RN) licensure in the State of Florida or endorsement.

Preferred Qualifications

• Bachelor’s degree in Nursing (BSN).
• Previous experience in Case Management.
• Case Manager Certification (CCM or ACM).
• Knowledge of utilization management and managed care reimbursement.

Skills

• Demonstrated leadership skills.
• Strong analytical, data management, and computer skills.
• Excellent interpersonal and negotiation skills.
• Ability to communicate effectively with customers of varied levels of understanding.
• Current working knowledge of care transitions, transfer and receipt of medical records.
• Understanding of pre- and post-acute care venues and post-acute community resources.
• Ability to prioritize multiple tasks and demands.
• Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients, and families.
• Excellent customer service skills with the ability to promote safe and cost-efficient improvements.
• Excellent writing and presentation skills.

Physical Requirements

• Majority of time involves sitting or standing; occasional walking, bending, and stooping.
• Long periods of computer time or at workstation.
• Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
• May be exposed to inside environments with varied temperatures, air quality, lighting, and/or low to moderate noise.
• Visual acuity and hand-eye coordination to perform tasks.
• Workspace may vary from open to confined.
• May require travel to various facilities within and beyond the county perimeter; may require use of a personal vehicle.

About Health First

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.