- The RN Case Manager functions as the leader of the interdisciplinary team. The RN Case Manager interacts via phone and face to face with the physicians, nurses, discharge planners, insurance providers and other to ensure the patient receives the appropriate and necessary treatment in the correct admission status. The RN Case Manager assesses plans, coordinates and evaluates the needs and services of the patient. The RN Case Manager coordinates and completes utilization review activities to ensure compliance with State, Federal and other payor requirements. The RN Case Manager participates in performance improvement initiatives related to the management of patient care as appropriate.
- FL RN license required, BSN preferred - 3 years minimum acute health care nursing experience. - Good interpersonal communication skills with case management staff, physicians, insurance providers, transportation services, and other team members - Critical thinking skills - Decisive judgment - Ability to work with deadlines and multiple tasks - Attitude of “Work ‘til it’s Done” - Knowledge of InterQual or Milliman admission criteria - Knowledge of Federal and State regulations