Location
Fort Walton Beach, FL, United States
Posted on
Nov 17, 2017
Profile
RN Case Manager, PRN Weekends','01307-7513','United States-Florida-Fort Walton Beach-**MEMBERS ONLY**SIGN UP NOW***.','PRN/Per Diem','Case Management','!*!Fort
Walton Beach Medical Center is a 257-bed top-performing quality
hospital with over 200 of the most highly respected and qualified physicians in
the area. It is the only acute care hospital in the Tri-County area that offers
open heart surgery, an Advanced
Primary Stroke Center accredited by the Joint Commission and an
Accredited Chest Pain Center. An affiliate of the UAB Cancer Community
Network, Fort Walton offers a Cancer Care Center that is
accredited by the Commission on
Cancer Commission on Cancer. **MEMBERS ONLY**SIGN UP NOW***. also
provides advanced care for critically ill patients, including cardiovascular
and trauma injury care, and emergency services, including a main ER, Pediatric ER and Express ER. Fort Walton
Beach Medical Center is in partnership with Twin Cities Hospital, located in
Niceville. We are the parent company of the Destin
Emergency Care Center (DECC) and the Rehabilitation Institute, both
located on Airport Road in Destin.
Position Summary:
The RN Case Manager will facilitate the interdisciplinary
plan of care with a focus on evaluating the appropriateness of clinical care,
medical necessity, admission status, level of care, and resource management.
The RN Case Manager will coordinate activities that promote quality outcomes
and patient throughput while supporting a balance of optimal care and
appropriate resource utilization. The RN Case Manager will identify potential
barriers to patient throughput and quality outcomes and will facilitate
appropriate discharge plans.
Essential Job Functions:
Performs initial
screening of all bedded patient for appropriate level of care, priority,
payer status and high risk criteria.Performs
a comprehensive assessment of psychosocial and medical needs of assigned
patientsDevelops
a case management plan of care to include identified clinical, psychosocial and
discharge needs; coordinates plan of care; plan is documented in the medical
record; plan is communicated to appropriate clinical disciplinesAssumes
a leadership role with the interdisciplinary team to manage care, through
criteria driven processes, for the appropriate level of care, patient status
and resource utilization for assigned case load.Conducts
interdisciplinary team meetings to provide a mechanism for all clinical
disciplines to collaborate, plan, implement, and assess the plan of care;
patient selection should be criteria based and interventions will be
documented Evaluates
admissions for medical necessity using approved criteria at defined intervals
throughout the episode of care; escalates medical necessity and admission
status issues through the established chain of command. Performs routine
medical necessity reviews (daily for unit patients and care coordinated
patients).Evaluates
and assess observation patients for appropriateness in observation statusActs as a liaison through effective and professional
communications between and with physicians, patient / family, hospital
staff, and outside agenciesDemonstrates
knowledge of regulatory requirements, HCA Ethics and Compliance policies, and
quality initiatives; monitors self-compliance and implements process changes to
ensure compliance to such regulations and quality initiatives as it relates to
the provision of Case Management ServicesMakes
appropriate referrals to third party disease and case management programs for
recurring patients and patients with chronic disease states Documents
professional recommendations, care coordination interventions, and case
management activities to effectively communicate to all members of the health
care teamFacilitates
patient throughput with an ongoing focus on quality and efficiencyTracks and trends barriers to care; makes
recommendations and develops action plans to improve processes and systems
','!*!EDUCATION
REQUIRED AND/OR PREFERRED:
Associate Degree, Diploma in Nursing requiredBSN preferred
LICENSURE/CERTIFICATION:
Current
Registered Nurse License in State of Florida requiredBCLS–AHA
Healthcare Provider certification required
upon hire
EXPERIENCE
REQUIRED OR PREFERRED:
Three (3) of acute care hospital direct patient care
nursing experience requiredOne (1) year of hospital case management experience
preferredNational Case Management Certification (CCM or ACM
preferred)Interqual competence required, certification
preferred
An EEO/AA Employer M/F/V/D. Tobacco Free
Campus
','RN Case Manager, PRN Weekends
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