Registered Nurse Case Manager ED, Case Management, FT,7P-7:30A
Company: Baptist Health South Florida
Location: Homestead
Posted on: January 27, 2023
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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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