RN Case Manager - ER Entry Point - FT - Mid Shift (12pm - 12am)- 10K Sign on Bonus - MRH

Memorial Healthcare System - Hollywood, FL

Job Title: RN Case Manager - ER Entry Point - FT - Mid Shift (12pm - 12am)- 10K Sign on Bonus - MRH

Position: N/A

Job Type: N/A

Pay: N/A

Shift: Primarily for office workers - not eligible for shift differential

Work Type: On-Site

Location

Address:

City: Hollywood

State: FL

ZIP Code:

Job Responsibilities

Works with multi-visit patients to offer resources in the community and/or refer to ED Social Work for referrals to social service organizations.
Performs utilization management responsibilities focused on determination of appropriate admission status utilizing criteria-based review and provision of resources and education to the healthcare team.
Assigns appropriate admitting status: place in observation vs. admit.
Works to support appropriate medical record documentation.
Develops working relationships with community health resources to improve outpatient access to healthcare for ED population.
Tracks clinic patients/frequency of ED use for non-acute care.
Provides clinic patients options for future non-acute care.
Tracks barriers to clinic access.
Screens all ED patients with potential for admission identifying payer source.
Provides support for other entry points as indicated, including responding to requests about status in the PACU and supporting the Care Coordination Center in decision making regarding acute care transfers and direct admits.
Identifies and addresses patients with frequent ED use for non-urgent care or patients with high hospital admission rates.
Works with attending/ED medical staff to assign appropriate designation.
Provides discharge planning focusing on the identification of available services or options for placement for ED patients.
Identifies high risk patients who are at greater risk for recurrent visits to the ED.

Required Skills

Core Skills

Decisive judgment
Ability to build and foster positive relationships
Education and resources for effective progression of care
Utilization of services
Safe patient transition
Clinical assessment
Critical thinking
Decision making
Organizational skills
Interpersonal skills
Effective written and verbal communication
Collaboration with internal and external customers
Knowledge of relevant Federal and State utilization review and appeal requirements

Preferred Skills

Bachelor of Science in Nursing
Certification of Case Management (CCM)

Requirements

Experience: Three (3) years’ RN experience. Experience with medical necessity criteria, discharge planning in an acute care setting or emergency department setting.

Education: Accredited Program: Nursing (Required); Bachelor of Science in Nursing preferred.

License & Certification:

BLS American Heart E-Card
BLS American Heart RQI E-Card
BLS Cert American Heart_non ecard
BLS Certification Grace
BLS Cert Red Cross
Registered Nurse Compact License
Registered Nurse License (State of Florida)

Schedule:

Not specified

COVID-19 Requirements: N/A

Benefits

Not specified

Supplemental Pay

Not specified

Special Notes

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Offers Veteran’s Preference to former military, reservists and military spouses.