- We are Jupiter Medical Center and We are GROWING AND HIRING!! The RN Case Manager actively supports the mission and vision of Jupiter Medical Center. The RN Case Manager functions as a leader of the interdisciplinary team (IDT) collaborating with all departments to ensure that a comprehensive plan of care is developed, monitored, and amended as necessary, and that appropriate outcome measures are identified that demonstrate attainment of individual patient goals. In this position you will assess, plan, implement, coordinate, monitor and evaluate options and services to meet a patient’s need within an assigned case load, using available resources to assist in achieving an effective discharge plan while promoting quality health care with cost effective outcomes. The RN Case Manager also coordinates and completes utilization review activities and assures compliance with federal, state and third party payors. You will participate in performance improvement initiatives related to the management of patient care as appropriate, utilization of resources, and perform other departmental duties as assigned.
Qualifications: · MUST HAVE HOSPITAL EXPERIENCE with a minimum of 2 years acute care hospital experience required. · FL RN License required, BSN preferred. · Current Case Management experience in an acute care setting is a MUST, with a minimum of 2 years. · Knowledge of CMS guidelines and experience working with payor specific guidelines and contractual rules required. · Critical thinking skills, decisive judgment and the ability to work with changing priorities while meeting firm deadlines required. · Knowledge of InterQual Level of Care Criteria required; Milliman Care Guidelines, Allscripts, and Electronic Health Record (McKesson) strongly preferred. · BLS required. · CCM certification preferred. · NO new grads will be considered without the qualifications required.