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Registered Nurse Case Manager ED, Case Management, FT,7P-7:30A

Company: Baptist Health South Florida
Location: Homestead
Posted on: January 27, 2023

Job Description:

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 24,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why we're all in for helping you be your best.Description:Increases patient throughput to the most appropriate level of care while facilitating interdisciplinary care across the continuum while maintaining regularity compliance. The role Integrates, coordinates care facilitation throughput while working in partnership with the healthcare team. Is accountable for prioritizing, reviewing cases to determine the appropriateness of pre-admission, admission utilizing payer established criteria Assisting in identifying appropriate patient status and level of care. Identify readmissions managing per policy. Identify possible inappropriate hospitalizations and collaborate with the healthcare team to facilitate alternate Level of Care. Assist in identifying physician and staff documentation opportunities to support Quality and Pay for Performance indicators. Estimated salary range for this position is $69617.60 - $92591.41 / year depending on experience.Qualifications:Degrees: Associates Licenses & Certifications: ABMCM Certified Managed Care Nurse RNCB Certified Rehabilitation Registered Nurse ANCC Nursing Case Management ACMA ACM Certification NACCM Care Manager Certified CDMS Certified Disability Management Specialist CCMC Case Manager NBCC Certification in Continuity of Care, Advanced Registered Nurse Additional Qualifications: RNs hired prior to 2/2012 with an Associate Degree are not required to have a BSN to continue their non-leadership role as an RN, however, required to complete the BSN within 5 years. A Case Management Certification required within 12 months of hire. 3 years of hospital clinical experience with a minimum of 1-3 years of hospital or payor Case management or Utilization management review experience preferred. Excellent interpersonal communication and negotiation skills. Strong analytical, data management and computer skills. Current working knowledge of discharge planning, utilization management, case management and performance improvement preferred. Understanding of pre-acute and post-acute venues of care and post-community resources preferred. Strong organizational and time management skills. Ability to work independently and exercise sound judgment. Ability to prioritize and manage multiple high-risk, complex patients. Ability to work with multiple members of a care team and maintain positive working relationships. Demonstrate the ability to solve problems in a fast-paced environment. Minimum Required Experience: 3EOE

Keywords: Baptist Health South Florida, Homestead , Registered Nurse Case Manager ED, Case Management, FT,7P-7:30A, Executive , Homestead, Florida

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