RN Entry Point Case Manager - Midshift (11AM - 7PM) - FT - 10K Sign On Bonus - MHM

Entry Point Case Manager

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 patient's healthcare service needs as identified in the Emergency Department.

Consults with Physicians' and multidisciplinary teams regularly to evaluate the patient's status and appropriateness of medical care, including admission, length of stay, transfer, and discharge. May collect and assess data to identify quality trends or actual sources of risk to patients and employees. Collaborates with multidisciplinary team and committees concerning quality outcomes. Performs ongoing chart review to identify actual or potential issues, which may include service delivery, patient outcomes, and satisfaction, compliance, cost, and reimbursement. Participates in discharge planning, including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients. Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payers regarding care. Makes appropriate referrals to Social Workers and identifies appropriate hospice candidates and communicates with a physician regarding options.

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, Teamwork

Accredited Program: Nursing (Required) BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non 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)

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 preferred. Required Work Experience: Three (3) years' RN experience. Experience with medical necessity criteria, discharge planning in an acute care setting or emergency department setting. Other Information: Additional Education Info: Bachelor of Science in Nursing preferred. Additional Certification Info: Certification of Case Management (CCM) preferred.

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