RN Case Management Supervisor - FT - Days - MRH

Case Management Nurse

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary: Acts as a resource to all levels of staff and management in evaluating patient care and nursing practice standards. Provides clinical and administrative supervision to the case managers assigned on unit including ongoing performance evaluations of staff. Is involved in program planning, feedback on both policymaking, and decision-making for the unit and/or department. Communicates information to unit staff as well as to the manager.

Responsibilities: Assists with supporting the department manager and director through the evaluation of department operations, including information technologies, service level determination, and complaint management, to achieve performance and quality control objectives. Analyzes and submits statistical reports monthly and as requested. Collaborates with interdisciplinary staff to design and implement appropriate treatment plans, including discharge planning, to ensure quality outcomes. Develops, leads or co-leads groups as needed. Supports and maintains existing standards of the department and of the profession. Participates in the orientation, training, evaluation, clinical performance improvement, disciplinary actions, and continuing education initiatives of the case management staff. Manages and constantly evaluates staffing levels, assignments, skills, learning needs, and deployment of staff. Performs problem resolution activities to maintain quality patient care. Identifies practice and system issues, and trends utilizing medical criteria, protocols, and clinical data systems utilized by the organization. Assists with the development and implementation of Case Management goals, plans, and standards consistent with the clinical, administrative, regulatory, legal, and ethical requirements.

Competencies: ACCOUNTABILITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTHCARE REGULATORY ENVIRONMENT, LEADING BY COACHING, LEADING CHANGE INITIATIVES, MANAGING PEOPLE, PATIENT AND FAMILY CENTERED CARE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR

Education and Certification Requirements: Accredited Program: Nursing (Required) 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: Plays a pivotal role in overseeing the daily operations of the case management team ensuring that all activities align with organizational objectives and meet regulatory standards. Requires critical thinking skills, effective communication (verbal and written) skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Have knowledge of State and Federal regulations governing discharge planning conditions of participation, hospital information systems (e.g., logician and IDX), staff development techniques, and performance improvements processes. Requires a comprehensive understanding of medical necessity criteria, payer guidelines, and regulatory compliance standards. This role involves high level analytical and decision making skills to evaluate clinical data against medical necessity criteria while balancing financial and operational objectives. Responsibilities include real time problem solving and prioritizing urgent cases, coordinating with physician advisors on challenging cases, or escalating to leadership as needed. Required Work Experience: Three (3) years of experience in an acute care setting as an RN in case management. Leadership experience preferred. Other Information: Additional Education Info: Graduate of an accredited Registered/Professional Nursing program or a Bachelor's degree in Nursing (BSN). Additional Certification Info: Certification in Case Management preferred.

Working Conditions and Physical Requirements:

• Bending and Stooping = 0%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 0%
• Lifting/Carrying Patients 35 Pounds or Greater = 40%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
• Pushing or Pulling > 75 lbs Non-Patient = 0%
• Reaching = 60%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 80%
• Running = 0%
• Sitting = 80%
• Squatting = 0%
• Standing = 80%
• Walking = 80%
• Audible Speech = 80%
• Hearing Acuity = 80%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 80%
• Distinguish Color = 80%
• Seeing - Far = 60%
• Seeing - Near = 80%
• Bio hazardous Waste = 60%
• Biological Hazards - Respiratory = 60%
• Biological Hazards - Skin or Ingestion = 60%
• Blood and/or Bodily Fluids = 60%
• Communicable Diseases and/or Pathogens = 60%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 60%
• Gas/Vapors/Fumes = 60%
• Hazardous Chemicals = 60%
• Hazardous Medication = 40%
• Latex = 60%
• Computer Monitor = 80%
• Domestic Animals = 60%
• Extreme Heat/Cold = 40%
• Fire Risk = 0%
• Hazardous Noise = 0%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 0%
• Needles/Sharp Objects = 60%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 60%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 60%

Shift: Days

Disclaimer: 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 Veteran's 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 contact 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net.