Registered Nurse Case Manager, Case Management

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:

The purpose of the RN Case Manager I position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care. The role integrates and coordinates care facilitation and discharge planning functions while working in partnership with the UR RN and Social Work Case Manager. The RN Case Manager I is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources. Specific functions within this role include: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement, Application of process improvement methodologies in evaluating outcomes of care, Coordinating communication with the healthcare team, patients, families and post-acute care services, Readmission screening and prevention. Estimated salary range for this position is $71697.60 - $95357.81 / year depending on experience.

Qualifications:

Degrees: Associates Licenses & Certifications: ACMA ACM Certification CDMS Certified Disability Management Specialist NACCM Care Manager Certified ABMCM Certified Managed Care Nurse RNCB Certified Rehabilitation Registered Nurse ANCC Nursing Case Management NBCC Certification in Continuity of Care, Advanced Registered Nurse CCMC Case Manager 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 BSN within 5 years of hire. 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 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, as evidenced by capacity to prioritize multiple tasks and role components. Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families. Minimum Required Experience: 3