Location:
Miramar FloridaWe have an outstanding reputation for providing patient- and family-centered care that exceeds all expectations. Together we have created an award-winning nationally-recognized system where every effort is focused on delivering Deeper Caring and Smarter Healthcare throughout our communities. Career opportunities exist on diverse teams across our many facilities where you can search open positions and apply online to join #teamMHSflorida.
Learn more below.
Summary:
The role of the Entry Point Case Manager is to provide utilization management and safe discharge planning for patients presenting to the Emergency Department (ED) or other entry points in need of care. Works in collaboration with the healthcare team to problem solve patient difficulties in the case management arena. Addresses the patients healthcare service needs as identified in the Emergency Department.Responsibilities:
Monitors patient and family satisfaction. Responds to questions and complaints from patients family members and payers regarding in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to ongoing chart review to identify actual or potential issues which may include service delivery patient outcomes and satisfaction compliance cost and collect and assesses data to identify quality trends or actual sources of risk to patients and employees. Collaborates with multidisciplinary team and committees concerning quality with Physicians and multidisciplinary teams regularly to evaluate the patients status and appropriateness of medical care including admission length of stay transfer and appropriate referrals to Social Workers and identifies appropriate hospice candidates and communicates with a physician regarding options.Competencies:
ACCOUNTABILITY ANALYSIS AND DECISION MAKING CLINICAL POLICIES AND STANDARDS CUSTOMER SERVICE DISCHARGE PLANNING CLINICAL EFFECTIVENESS PATIENT AND FAMILY CENTERED CARE RESPONDING TO CHANGE STANDARDS OF BEHAVIOR TEAM WORKEducation and Certification Requirements:
Accredited Program: Nursing (Required)BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART) BLS Cert American Heartnon ecard (BLS AHA) - American Heart Association (AMERICAN HEART) BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE) BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS) Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate Registered Nurse License (RN LICENSE) - State of Florida (FL)Additional Job Information:
Complexity of Work: This role requires decisive judgment with the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Must be able to provide education and resources relevant to the effective progression of care utilization of services appropriate level of care and safe patient transition to the patient/family and health care team. Solid clinical assessment critical thinking decision making and organizational skills. Demonstrated interpersonal skills effective written and verbal communication skills and ability to work collaboratively with internal and external customers. Knowledge of relevant Federal and State utilization review and appeal requirements Work Experience: Three (3) years RN experience. Experience with medical necessity criteria discharge planning in an acute care setting or emergency department Information: Additional Education Info: Bachelor of Science in Nursing Certification Info: Certification of Case Management (CCM) preferred.Working Conditions and Physical Requirements:
Shift:
EveningsDisclaimer: This job description is not intended nor should it be construed to be an exhaustive list of all responsibilities skills efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
Wages shown on independent job boards reflect market averages not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Memorial Healthcare System recruits hires and promotes qualified candidates for employment opportunities without regard to race color age religion gender gender identity or expression sexual orientation national origin veteran status disability genetic information or any factor prohibited by law.
We are proud to offer Veterans Preference to former military reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.
Employment is subject to post offer pre-placement assessment including drug testing.
If you need reasonable accommodation during the application process please call (M-F 8am-5pm) or email
Required Experience:
Manager