RN Case Manager Utilization Review PRN
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Job Location:
Jacksonville, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
05-11-2025
Vacancies:
1 Vacancy
Job Summary
The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management care coordination resource utilization and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model which includes accountability for assessing planning implementing evaluating and communicating the patient care plan progression. The RN Case Manager utilizes the principles of mutual respect patient/family advocacy and provides leadership within the team of internal partners and outside agencies to facilitate best practices that achieve quality clinical financial and patient satisfaction outcomes. The RN Case Manager provides leadership through education on case management/utilization management concepts committee work research and community involvement. The RN Case Manager bridges communication between providers patients and families members of the interdisciplinary team and outside agencies to assure high-quality care that meets the patients needs and is delivered in a cost-effective and timely manner. The ANA Nursing: Scope and Standards of Practice and Code of Ethics provide a basis for the practice of the RN. The American Case Manager Association Standards of Practice and Scope of Services for Health Care Delivery System Case Management and Transitions of Care Professionals (2013) are reflected.
This role is eligible for TN sponsorship. Holders of F1 status eligible for post-completion OPT are welcome to apply. This role is NOT eligible to participate in the F-1 STEM OPT extension program. Successful sponsorship will require state licensure and completion of the VisaScreen or equivalent certification.
Qualifications
Graduate of a baccalaureate nursing program. 3-5 years of acute nursing preferred; 1-2 years of Case Management experience preferred. Certification (CCM or ACM-RN) RN license by applicable state requirements. Maintains Basic Life Support (BLS) competency for Health Care Providers from one of the following programs: American Heart Association or American Red Cross. Additional specialty certification/training as required by the work area. Certification (CCM or ACM-RN) preferred.
Required Experience:
Manager
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
About Company
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive ... View more
