Case Manager RN
Case Manager RN
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$ 32 - 45
1 Vacancy
Job Description
Case Manager (RN)
Case Manager (RN) needed in Gainesville FL.
Titan Placement Group invited you to explore an opportunity in Gainesville Fl. Enjoy worldclass museums performing arts and live music. Explore 8 state parks with more than 100 miles of trails for biking birding and hiking or cool off in crystalblue freshwater springs. When youre done with your day kick back at a craft brewery and savor innovative cuisine and specialty cocktails at inspired local restaurants.
This position is with a progressive financially stable Hospital System.
Salary and Benefits
- Hourly Rate $32 $41.14 midpoint 10 years of experience $45.25 max
- Evening differential is $2.00 and Weekends are $2.00
- Signon Bonus $15000
- Relocation Assistance
- Health Benefits
- Dental and Vision Insurance
- Life Insurance
- Long Term/ Short Term Disability
- Health Savings Account
- 401(k) Plan with a 100 match on 3 to 9 of pay (based on years of service)
- Paid Time Off
Responsibilities
- Conducts initial and ongoing assessment of each patient with respect to clinical condition level of care and plan of care.
- Reviews admission preop orders for all components necessary for preadmission and admission process.
- Assist the physician offices in obtaining necessary assessments prior to surgery procedures and/or admission.
- Include patients and family in care facilitation and education activities.
- Assist in the development and implementation of critical pathways.
- Utilizes computer support and physician advisor to determine potential outliers (length of stay and changes in condition) in continued hospital stay.
- Communicates the benefits and changes in the various benefit plans both in terms of health management and financial implications to physicians and patients and families as appropriate.
- Assists in management of payor denials; issues hospitalinitiated notices of noncoverage (HINNs)
- Distinguish between the levels of care available and interact with the various benefit plans and their delivery systems to coordinate this care across the continuum.
- Defines desired clinical outcomes sets target dates and establishes a plan for required services and care addressing all needs (i.e. physical psychosocial financial).
- Participates in IDT rounds
- Conducts utilization review evaluates clinical information and communicates findings to physicians and payors on a timely basis by the NFRMC Utilization Review Plan and managed care contractual agreements.
- Submits clinical information to insurance companies to ensure all days are authorized and notifies director of continued stay denials.
- Applies decision support criteria (e.g. Interqual) appropriately.
- Maintains accurate uptodate documentation in MIDAS.
- Is crosstrained to function in any of the assigned Case Manager areas.
- Promotes close alignment with medical and ancillary staff to facilitate appropriate patient care delivery including alternative levels of care opportunities.
- Completes required documentation for transfer to the next level of care. Coordinates with physician for optimal information related throughout the continuum.
- Assists with patient/family/significant others learning needs abilities and readiness to learn. Identifies barriers to learning such as language or culture. Integrates this information into the patients plan of care.
- Identifies and documents patient/family/SOs education needs in collaboration with other disciplines and implements an ongoing education relevant to these needs.
- Documents patient teaching on appropriate teaching tool for each teaching episode.
- Ensures patient/family/SO understand discharge instructions
Requirements:
- Looking for Recent (within the last year) experienced acute care Case Manager experience
- Will also consider someone that has case management experience in an LTAC facility
- Must have good critical thinking skills. They need to know and understand the medical needs for patients
- Certification in Case Management Nursing or Utilization Review is preferred
- Florida RN license and/or approved multistate RN license required. Compact license holders have 60 days to obtain a Florida license after relocation.
- BLSAHA providerissued card required within 30 days of start years of RN experience in an acute care setting is required
- Graduate of an accredited school of nursing as an RN. BSN preferred.
About US
Titan Placement Group is a permanent placement healthcare recruiting firm that is bridging the gap between healthcare companies and highquality candidates. We do that by utilizing our core values of communication collaboration and accountability. Titan Placement Group is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female candidates to apply.
If interested please apply or email your resume to
We can always be reached by phone at
Required Experience:
Manager
Employment Type
Full Time
