https://careers.mhanational.org Latest MHA Career Center Jobs Thu, 07 Oct 2021 07:38:03 Z https://careers.mhanational.org/jobs/rss/15544764/registered-nurse-case-manager-ft-days https://careers.mhanational.org/jobs/rss/15544764/registered-nurse-case-manager-ft-days Kissimmee, Florida, Description Case Manager RN AdventHealth Kissimmee   Location Address: 2450 N Orange Blossom Trail Top Reasons to work at AdventHealth Kissimmee AdventHealth Kissimmee is an 83-bed community-focused hospital Conveniently located near Walt Disney World The team here is dedicated to bringing mission-focused, faith-based care to residents and visitors of Osceola and Orange Counties AdventHealth Kissimmee has recently expanded to include a new medical office building, patient tower, and new main entrance Virtual Tour:  https://visit360five.com/start.php?id=14216310   Work Hours/Shift: Full Time Days   You Will Be Responsible For:     Coordinates the integration of social services/case management functions into the patient care, discharge planning processes in collaboration with other hospital departments, external service organizations, agencies and healthcare facilities. Performs initial case management assessment to determine care coordination and discharge planning needs. Conducts admission and concurrent medical record review using specific indicators and criteria in accordance with regulatory and contractual requirements as well as internal policy. Uses established medically necessity criteria as described by policy to conduct screening for appropriate-ness of admission (IP verses observation) and continued stay for intensity of service/severity of illness. Escalates cases as appropriate and per policy to Physician Advisor and Director. Collaborates with Bed Management to ensure appropriate bed placement based on level of care. Assimilates information obtained from information systems, service schedules, registration area, Bed Management, clinics, other facilities, and insurance companies to accurately assess patient clinical needs and treatment. Acts as patient advocate by negotiating for, and coordinating resources with payers, agencies and vendors during inpatient and transition phases. Identifies and communicates quality and risk issues to the appropriate staff/departments in a timely manner. Acts as a resource and provides staff and physician education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.       Qualifications What Will You Need:            EDUCATION AND EXPERIENCE REQUIRED : Associates Degree in Nursing Minimum of two yearsâ™ recent acute care experience Minimum of an additional two yearsâ™ experience in healthcare related fields   EDUCATION AND EXPERIENCE PREFERRED : Masterâ™s degree in Nursing Minimum of two years of utilization review/case management experience and a minimum of one year of experience in discharge planning in an acute care setting highly desirable.   LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED : Current valid State of Florida or multi state license as a Registered Nurse   LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED : Case Management certification highly desirable â“ ACM (Accredited Case Manager), CCM (Certified Case Manager), RN-BC (Board Certified in Case Management)   Job Summary: Under general supervision of the Director and/or Manager of Case Management, in collaboration with the patient/family, social workers, physicians and interdisciplinary team, the RN Case Manager ensures patient progression through the continuum of care in an efficient and cost-effective manner. The RN case manager is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning are accountabilities of this role. Education is provided to physicians and other members of the team on the issues related to utilization review including inappropriate admissions and placements. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent. The Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.   This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Thu, 07 Oct 2021 05:16:10 -0400 https://careers.mhanational.org/jobs/rss/15561434/registered-nurse-case-manager-ft-days https://careers.mhanational.org/jobs/rss/15561434/registered-nurse-case-manager-ft-days Orlando, Florida, Description Case Manager RN AdventHealth Orlando   Location Address: 601 E Rollins St, Orlando, FL 32803    Top Reasons to work at AdventHealth Orlando Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando serves as the major tertiary facility for much of the Southeast, the Caribbean and South America AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year Work Hours/Shift: Full Time Days   You Will Be Responsible For:     Coordinates the integration of social services/case management functions into the patient care, discharge planning processes in collaboration with other hospital departments, external service organizations, agencies and healthcare facilities. Performs initial case management assessment to determine care coordination and discharge planning needs. Conducts admission and concurrent medical record review using specific indicators and criteria in accordance with regulatory and contractual requirements as well as internal policy. Uses established medically necessity criteria as described by policy to conduct screening for appropriate-ness of admission (IP verses observation) and continued stay for intensity of service/severity of illness. Escalates cases as appropriate and per policy to Physician Advisor and Director. Collaborates with Bed Management to ensure appropriate bed placement based on level of care. Assimilates information obtained from information systems, service schedules, registration area, Bed Management, clinics, other facilities, and insurance companies to accurately assess patient clinical needs and treatment. Acts as patient advocate by negotiating for, and coordinating resources with payers, agencies and vendors during inpatient and transition phases. Identifies and communicates quality and risk issues to the appropriate staff/departments in a timely manner. Acts as a resource and provides staff and physician education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.       Qualifications What Will You Need:            EDUCATION AND EXPERIENCE REQUIRED : Associates Degree in Nursing Minimum of two yearsâ™ recent acute care experience Minimum of an additional two yearsâ™ experience in healthcare related fields   EDUCATION AND EXPERIENCE PREFERRED : Masterâ™s degree in Nursing Minimum of two years of utilization review/case management experience and a minimum of one year of experience in discharge planning in an acute care setting highly desirable.   LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED : Current valid State of Florida or multi state license as a Registered Nurse   LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED : Case Management certification highly desirable â“ ACM (Accredited Case Manager), CCM (Certified Case Manager), RN-BC (Board Certified in Case Management)   Job Summary: Under general supervision of the Director and/or Manager of Case Management, in collaboration with the patient/family, social workers, physicians and interdisciplinary team, the RN Case Manager ensures patient progression through the continuum of care in an efficient and cost-effective manner. The RN case manager is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning are accountabilities of this role. Education is provided to physicians and other members of the team on the issues related to utilization review including inappropriate admissions and placements. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent. The Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.   This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Thu, 07 Oct 2021 05:16:10 -0400 https://careers.mhanational.org/jobs/rss/15566857/registered-nurse-case-manager-ft-days https://careers.mhanational.org/jobs/rss/15566857/registered-nurse-case-manager-ft-days Altamonte Springs, Florida, Description Case Manager RN AdventHealth Altamonte Springs     Location Address:  601 E Altamonte Dr, Altamonte Springs, FL 32701    Top Reasons to work at AdventHealth Altamonte Springs   Located north of Orlando in the community of Altamonte Springs, our facility is consistently named “Best Hospital” for overall quality, reputation, doctors and nurses by local residents As the largest satellite campus within the AdventHealth system, AdventHealth Altamonte has been providing state-of-the-art healthcare to the community since 1973 The 398-bed hospital cares for more than 168,000 patients a year. We are proud to be revolutionizing health care with visionary leadership and world-class resources   Work Hours/Shift: Full Time, Days You Will Be Responsible For:     Coordinates the integration of social services/case management functions into the patient care, discharge planning processes in collaboration with other hospital departments, external service organizations, agencies and healthcare facilities. Performs initial case management assessment to determine care coordination and discharge planning needs. Conducts admission and concurrent medical record review using specific indicators and criteria in accordance with regulatory and contractual requirements as well as internal policy. Uses established medically necessity criteria as described by policy to conduct screening for appropriate-ness of admission (IP verses observation) and continued stay for intensity of service/severity of illness. Escalates cases as appropriate and per policy to Physician Advisor and Director. Collaborates with Bed Management to ensure appropriate bed placement based on level of care. Assimilates information obtained from information systems, service schedules, registration area, Bed Management, clinics, other facilities, and insurance companies to accurately assess patient clinical needs and treatment. Acts as patient advocate by negotiating for, and coordinating resources with payers, agencies and vendors during inpatient and transition phases. Identifies and communicates quality and risk issues to the appropriate staff/departments in a timely manner. Acts as a resource and provides staff and physician education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.       Qualifications What Will You Need:            EDUCATION AND EXPERIENCE REQUIRED : Associates Degree in Nursing Minimum of two yearsâ™ recent acute care experience Minimum of an additional two yearsâ™ experience in healthcare related fields   EDUCATION AND EXPERIENCE PREFERRED : Masterâ™s degree in Nursing Minimum of two years of utilization review/case management experience and a minimum of one year of experience in discharge planning in an acute care setting highly desirable.   LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED : Current valid State of Florida or multi state license as a Registered Nurse   LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED : Case Management certification highly desirable â“ ACM (Accredited Case Manager), CCM (Certified Case Manager), RN-BC (Board Certified in Case Management)   Job Summary: Under general supervision of the Director and/or Manager of Case Management, in collaboration with the patient/family, social workers, physicians and interdisciplinary team, the RN Case Manager ensures patient progression through the continuum of care in an efficient and cost-effective manner. The RN case manager is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning are accountabilities of this role. Education is provided to physicians and other members of the team on the issues related to utilization review including inappropriate admissions and placements. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent. The Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.   This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Thu, 07 Oct 2021 05:16:10 -0400 https://careers.mhanational.org/jobs/rss/15465350/registered-nurse-case-manager-ft-days https://careers.mhanational.org/jobs/rss/15465350/registered-nurse-case-manager-ft-days Celebration, Florida, Description Case Manager RN AdventHealth Celebration Location Address:  400 Celebration Place, Celebration, FL   Top Reasons to work at AdventHealth Celebration Established in 1997 and now a 203-bed hospital, AdventHealth Celebration Health was designed as a Mediterranean resort-style facility to serve as a cornerstone of health in Disney’s planned community of Celebration, Florida The hospital consistently delivers a state-of-the-art healing environment to residents of Osceola, Orange, Polk and Lake Counties, as well as to visitors from across the United States and the world. All within a 'living laboratory' of groundbreaking, research-driven clinical solutions that integrate mind, body and spirit in the defeat of illness and disease. The Imaging department at AdventHealth Celebration Health is integrally involved across the spectrum of patient care, assisting medical staff in the diagnosis and treatment of patients ranging from routine imaging studies to advanced interventional procedures. Annually, Imaging at Celebration Health performs 132,000 procedures across emergency, inpatient, surgical, and outpatient settings. The department operates within the hospital and services the greater Osceola community. The Imaging team includes more than 100 skilled and engaged staff including Radiologists, Technologists, Nurses, and support staff, working to ensure the patients receive appropriate, quality procedures and results at the right time. Work Hours/Shift: Full Time Days   You Will Be Responsible For:     Coordinates the integration of social services/case management functions into the patient care, discharge planning processes in collaboration with other hospital departments, external service organizations, agencies and healthcare facilities. Performs initial case management assessment to determine care coordination and discharge planning needs. Conducts admission and concurrent medical record review using specific indicators and criteria in accordance with regulatory and contractual requirements as well as internal policy. Uses established medically necessity criteria as described by policy to conduct screening for appropriate-ness of admission (IP verses observation) and continued stay for intensity of service/severity of illness. Escalates cases as appropriate and per policy to Physician Advisor and Director. Collaborates with Bed Management to ensure appropriate bed placement based on level of care. Assimilates information obtained from information systems, service schedules, registration area, Bed Management, clinics, other facilities, and insurance companies to accurately assess patient clinical needs and treatment. Acts as patient advocate by negotiating for, and coordinating resources with payers, agencies and vendors during inpatient and transition phases. Identifies and communicates quality and risk issues to the appropriate staff/departments in a timely manner. Acts as a resource and provides staff and physician education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.       Qualifications What Will You Need:            EDUCATION AND EXPERIENCE REQUIRED : Associates Degree in Nursing Minimum of two yearsâ™ recent acute care experience Minimum of an additional two yearsâ™ experience in healthcare related fields   EDUCATION AND EXPERIENCE PREFERRED : Masterâ™s degree in Nursing Minimum of two years of utilization review/case management experience and a minimum of one year of experience in discharge planning in an acute care setting highly desirable.   LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED : Current valid State of Florida or multi state license as a Registered Nurse   LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED : Case Management certification highly desirable â“ ACM (Accredited Case Manager), CCM (Certified Case Manager), RN-BC (Board Certified in Case Management)   Job Summary: Under general supervision of the Director and/or Manager of Case Management, in collaboration with the patient/family, social workers, physicians and interdisciplinary team, the RN Case Manager ensures patient progression through the continuum of care in an efficient and cost-effective manner. The RN case manager is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning are accountabilities of this role. Education is provided to physicians and other members of the team on the issues related to utilization review including inappropriate admissions and placements. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent. The Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.   This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Thu, 07 Oct 2021 05:16:10 -0400 https://careers.mhanational.org/jobs/rss/15475539/registered-nurse-case-manager-lead-ft-days https://careers.mhanational.org/jobs/rss/15475539/registered-nurse-case-manager-lead-ft-days Altamonte Springs, Florida, Description Care Manager Lead AdventHealth Altamonte Springs   Location Address:  601 E Altamonte Dr, Altamonte Springs, FL 32701    Top Reasons to work at AdventHealth Altamonte Springs   Located north of Orlando in the community of Altamonte Springs, our facility is consistently named “Best Hospital” for overall quality, reputation, doctors and nurses by local residents As the largest satellite campus within the AdventHealth system, AdventHealth Altamonte has been providing state-of-the-art healthcare to the community since 1973 The 398-bed hospital cares for more than 168,000 patients a year. We are proud to be revolutionizing health care with visionary leadership and world-class resources   Work Hours/Shift: Full Time, Days   You Will Be Responsible For:     Monitors performance of the staff and report’s findings to the nurse manager or takes corrective action for improvement as appropriate. Demonstrates familiarity with the performance improvement model of the organization. Support performance improvement activities on the unit through problem identification, assessment, data gathering, change implementation, and evaluation of outcomes. Is supportive of Process Improvement Initiatives by sponsoring and/or participating in the activities. Ensures that practice changes, as a result of performance improvement activities, are implemented. Supports quality standards and initiatives set by the department. Utilizes critical thinking skills in the performance of their duties. Supports the planning, organizing, and leading of the unit through application of critical thinking skills. Utilizes data driven decision making, incorporating evidence into the decision process. Demonstrates an understanding of the technology utilized on the unit. Appropriately integrates technology into the day-to-day care of the patient and leverage technology to improve patient care outcomes     Qualifications What Will You Need:            EDUCATION AND EXPERIENCE REQUIRED : Experience as a Registered Nurse  OR Bachelorâ™s Degree in Social Work (BSW)   EDUCATION AND EXPERIENCE PREFERRED : If RN, Bachelorâ™s degree of Nursing Masterâ™s degree in Social Work MSW Experience in acute care hospital discharge planning   LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED : If RN, Current and valid Florida or Multi-State Department of Health Nursing License   LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED : Accredited Care Manager (ACM)     Job Summary: The Care Manager Lead (CML) is a care management professional who supports the Care Management Operations Manager and/or Senior Manager in overall operations of the Care Management staff.  Exhibits critical-thinking skills, creativity, and manages resources to achieve quality performance, positive employee relations and compliance with hospital guidelines. The CML staffs, trains, mentors and facilitates workflow processes within the care management team in the delivery of services to our patient population. The CML ensures quality care is delivered to our patients and effective stewardship of scarce resources.  Supports change activities and works to ensure implementation of change that may occur.  In the absence of the Operations Manager and Senior Manager, escalates all issues up to their immediate supervisor.  Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.   This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Thu, 07 Oct 2021 05:16:10 -0400 https://careers.mhanational.org/jobs/rss/15544763/registered-nurse-case-manager-ed-obs-ft-days https://careers.mhanational.org/jobs/rss/15544763/registered-nurse-case-manager-ed-obs-ft-days Kissimmee, Florida, Description Care Manager, RN – ED/Observation - AdventHealth Kissimmee   Location Address: 2450 N Orange Blossom Trail Top Reasons to work at AdventHealth Kissimmee AdventHealth Kissimmee is an 83-bed community-focused hospital Conveniently located near Walt Disney World The team here is dedicated to bringing mission-focused, faith-based care to residents and visitors of Osceola and Orange Counties AdventHealth Kissimmee has recently expanded to include a new medical office building, patient tower, and new main entrance Virtual Tour:  https://visit360five.com/start.php?id=14216310   Work Hours/Shift: FT Days   You Will Be Responsible For:    Uses established medical necessity criteria as described by policy to conduct screening for medically appropriate admissions. Escalates cases as appropriate to Care Management Director/Manager.  Utilizes information obtained from information systems to accurately assess patient clinical needs and treatment if available and appropriate. Provides updates to the ED and/or Observation clinical team regarding Care Management involvement with the patient during the patient’s visit. Works as a resource to the ED and/or Observation clinical team as needed. Acts as a resource and provides staff and physician education related to resource utilization, medical necessity, and federal regulation and guidelines. Works with the ED and/or Observation team to achieve optimal patient flow/throughput to enhance continuity of care, smooth and safe transition, patient satisfaction, and patient safety.  Communicates effectively with physicians to obtain necessary information to complete all medical necessity reviews as required to prevent unnecessary delays and denials of service.    Qualifications What You Will Need: Three years recent acute care experience Associate Degree in Nursing Current valid State of Florida or multi state license as a Registered Nurse Superior clinical skills to determine appropriate clinical and other information for medical necessity reviews and identify appropriate mechanism to address delays or variation for expected care practices (Preferred) Bachelorâ™s degree in Nursing (Preferred) Minimum of two years of experience in the ED (Preferred) Minimum of two years of utilization review/case management experience and a minimum of one year of experience in discharge planning in an acute care setting (Preferred) Case Management certificationâ“ ACM (Accredited Case Manager), CCM (Certified Case Manager), RN-BC (Board Certified in Case Management) (Preferred) Job Summary: Under general supervision of the Director and/or Manager of Care Management, in collaboration with the patient/family, social workers, physicians and interdisciplinary team, the ED/Observation RN Care Manager provides guidance regarding admissions. The ED/Observation RN Care Manager, in a team approach with the ED Social Worker/ED staff, assists with identification of readmissions, patients with potential needs for community resources or potential post-acute needs.  The ED/Observation RN Care Manager complies with Care Management departmental goals, objectives, and policies and procedures, and supports the AdventHealth mission.  The ED/Observation RN Care Manager actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Thu, 07 Oct 2021 05:16:10 -0400 https://careers.mhanational.org/jobs/rss/15515510/registered-nurse-case-manager-full-time-days https://careers.mhanational.org/jobs/rss/15515510/registered-nurse-case-manager-full-time-days Delray Beach, Florida, Up to $10,000 Sign-On bonus for experienced Registered Nurse/ RN Case Manager Summary The Registered Nurse / RN Case Manager is a nurse with strong clinical knowledge and leadership skills. The Registered Nurse / RN Case Manager collaborates with the patient, family, physician, interdisciplinary team, and payer representative to assess, plan, implement, coordinate, monitor and evaluate options and services to promote optimal patient outcomes. The Registered Nurse / RN Case Manager monitors the provision of cost-effective care to ensure care is given in the most clinically appropriate setting. The Registered Nurse / RN Case Manager facilitates compliance with regulatory requirements and organizational performance standards. Qualifications: Education Minimum: Graduate of an accredited school Nursing, Associate's Degree in Science, or other qualification recognized by the State of Florida for RN licensure Preferred: Bachelor's Degree Experience Three (3) years bedside nursing experience in the relevant clinical specialty (e.g., case managers for pediatrics patients should have pediatric nursing experience) Certification/Licensure Florida RN license; BLS Other Qualifications Conversant knowledge and experience with case management care coordination, and/or utilization review Track record and comfort in collaborating with physicians Ability to lead and coordinate activities of a diverse group of people Demonstrated ability in critical thinking, problem solving and communications Basic skills with computers including word and excel #LI-DD1 Job: Case Management/Home Health Primary Location: Delray Beach, Florida Facility: Delray Medical Center Job Type: Full-time Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Thu, 07 Oct 2021 05:00:35 -0400 https://careers.mhanational.org/jobs/rss/15465240/registered-nurse-case-manager-full-time-days https://careers.mhanational.org/jobs/rss/15465240/registered-nurse-case-manager-full-time-days Delray Beach, Florida, Up to $10,000 Sign-On bonus for experienced Registered Nurse/ RN Case Manager Summary The Registered Nurse / RN Case Manager is a Nurse with strong clinical knowledge and leadership skills. The Registered Nurse / RN Case Manager collaborates with the patient, family, physician, interdisciplinary team, and payer representative to assess, plan, implement, coordinate, monitor and evaluate options and services to promote optimal patient outcomes. The Registered Nurse / RN Case Manager monitors the provision of cost-effective care to ensure care is given in the most clinically appropriate setting. The Registered Nurse / RN Case Manager facilitates compliance with regulatory requirements and organizational performance standards. Qualifications: Education Minimum: Graduate of an accredited school Nursing, Associate's Degree in Science, or other qualification recognized by the State of Florida for RN licensure Preferred: Bachelor's Degree Experience Three (3) years bedside nursing experience in the relevant clinical specialty (e.g., case managers for pediatrics patients should have pediatric nursing experience) Certification/Licensure Florida RN license; BLS Other Qualifications Conversant knowledge and experience with case management care coordination, and/or utilization review Track record and comfort in collaborating with physicians Ability to lead and coordinate activities of a diverse group of people Demonstrated ability in critical thinking, problem solving and communications Basic skills with computers including word and excel #LI-DD1 Job: Case Management/Home Health Primary Location: Delray Beach, Florida Facility: Delray Medical Center Job Type: Full-time Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Thu, 07 Oct 2021 05:00:35 -0400 https://careers.mhanational.org/jobs/rss/15538744/registered-nurse-case-manager-per-diem-days https://careers.mhanational.org/jobs/rss/15538744/registered-nurse-case-manager-per-diem-days San Antonio, Texas, Summary Registered Nurse / RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patient achieve optimal health, access to care and appropriate utilization of resources balanced with the patientâ??s resources and right to self-determination. Registered Nurse / RN Case Manager has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to provide timely throughput, safe discharge and prevent avoidable readmissions. Integrates the national standards for care management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; Education provided to physicians, patients, families and caregivers. Registered Nurse / RN Case Manager completes established competencies for the position within designated introductory period. Other related duties as assigned to Registered Nurse / RN Case Manager Qualifications: Education Required: Graduate of an accredited School of Nursing Preferred: Bachelors or Masters Degree in Nursing Experience Required: Two (2) years acute hospital patient care experience. Utilization/case management experience. Certifications Required: Possession of current Texas State license for Registered Nurse Preferred: AccreditedCase Management (ACM) Required Courses/Licensure BLS-Obtained through approved American heart Association Training Center or the Military Training Network #LI-AP1 Job: Case Management/Home Health Primary Location: San Antonio, Texas Facility: Baptist Medical Center Job Type: PT2Y Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Thu, 07 Oct 2021 05:00:35 -0400 https://careers.mhanational.org/jobs/rss/15394406/registered-nurse-case-manager-per-diem-days https://careers.mhanational.org/jobs/rss/15394406/registered-nurse-case-manager-per-diem-days San Antonio, Texas, Summary Registered Nurse / RN Case Manager Responsible to facilitatecare along a continuum through effective resource coordination to help patient achieve optimal health, access to care and appropriate utilization of resources balanced with the patientâ??s resources and right to self-determination. Registered Nurse / RN Case Manager Has overall responsibilityfor ensuring that care is provided at the appropriate level of care based on medical necessityand to assess the patient for transition needsto provide timely throughput, safe dischargeand prevent avoidable readmissions.Integrates the national standards forcare management scope of services including:Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction;Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at appropriate level of care;Compliance with state and federal regulatory requirements,TJC accreditation standards and Tenet policy;Education provided to physicians, patients, families and caregivers.Registered Nurse / RN Case Manager Completes established competencies for the position within designated introductory period. Other related duties as assigned to Registered Nurse / RN Case Manager Qualifications: Education Required: Graduate of an accredited School of Nursing Preferred: Bachelors or Masters Degree in Nursing Experience Required: Two (2) years acute hospital patient care experience. Utilization/case management experience. Certifications Required: Possession of current Texas State license for Registered Nurse Preferred: AccreditedCase Management (ACM) Required Courses/Licensure BLS-Obtained through approved American heart Association Training Center or the Military Training Network #LI-AP1 Job: Case Management/Home Health Primary Location: San Antonio, Texas Facility: Mission Trail Baptist Hospital Job Type: PT2Y Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Thu, 07 Oct 2021 05:00:35 -0400 https://careers.mhanational.org/jobs/rss/15490252/registered-nurse-case-manager-full-time-days https://careers.mhanational.org/jobs/rss/15490252/registered-nurse-case-manager-full-time-days West Palm Beach, Florida, Up to $10,000 Sign-On bonus for experienced Registered Nurse / RN Summary The Registered Nurse / RN Trauma Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patientâ??s resources and right to self-determination. The Registered Nurse / RN Trauma Case Manager has overall responsibility to ensure that care is provided at the appropriate level of care based on medical necessity and assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. Responsibilities The Registered Nurse / RN Trauma Case Manager responsibilities include the following activities: Provides assistance to the Director of Case Management in the management of the department, but not limited to, hiring/training/managing staff, schedule coordination, analysis and reporting, interfacing, collaborating and working closely with the other departments Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at the appropriate level of care Accountable for compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy Provides education to physicians, patients, families and caregivers Facilitates educational programs for Case Management Department on community resources use in discharge planning that encourages professional growth Provides reports to DCM and hospital leadership as requested The individualâ??s responsibilities include the following activities: a) assist the Director in the daily operations of the department b) accurate medical necessity screening and submission for Physician Advisor review, c) transition planning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h) identification and reporting over and underutilization, i) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to support post-acute needs , m) timely complete and concise documentation in Tenet Case Management documentation system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) and other duties as assigned. Qualifications: Qualifications Current Florida Registered Nurse / RN License Current BLS Certification Current ACLS Certification CNOR preferred One year peri-operative experience preferred Computer Skills Effective oral communication skills in the English language #LI-DD1 Job: Case Management/Home Health Primary Location: West Palm Beach, Florida Facility: Saint Mary's Medical Center Job Type: Full-time Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Thu, 07 Oct 2021 05:00:35 -0400 https://careers.mhanational.org/jobs/rss/15531966/registered-nurse-case-manager-part-time-days https://careers.mhanational.org/jobs/rss/15531966/registered-nurse-case-manager-part-time-days Harlingen, Texas, Summary The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patientâ??s resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy Education provided to physicians, patients, families and caregivers Responsibilities The individualâ??s responsibilities include the following activities: Accurate medical necessity screening and submission for Physician Advisor review, Care coordination, Transition planning assessment and reassessment, Implementation or oversight of implementation of the transition plan, Leading and facilitating multi-disciplinary patient care conferences, Managing concurrent disputes, Making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, Communicating with patients and families about the plan of care, Collaborating with physicians, office staff and ancillary departments, Leading and facilitating Complex Case Review, Assuring patient education is completed to support post-acute needs , Timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information, Identification and documentation of potentially avoidable days, Identification and reporting over and underutilization, And other duties as assigned Qualifications: Education Preferred: Bachelor of Science in Nursing (BSN) Experience Required: Two (2) years acute hospital patient care experience. Preferred: Acute hospital case management experience. Certifications Required: Active Registered Nurse license. Preferred: Accredited Case Manager (ACM) BLS #LI-VG1 Job: Case Management/Home Health Primary Location: Harlingen, Texas Facility: Valley Baptist Medical Center - Harlingen Job Type: PT1 Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Thu, 07 Oct 2021 05:00:35 -0400 https://careers.mhanational.org/jobs/rss/15484342/registered-nurse-case-manager-pt-days https://careers.mhanational.org/jobs/rss/15484342/registered-nurse-case-manager-pt-days Apopka, Florida, Description Case Manager RN AdventHealth Apopka Location Address: 2100 Ocoee Apopka Rd, Apopka, FL 32703 Top Reasons to work at AdventHealth Apopka   AdventHealth Apopka is a seven-story, 120-bed hospital offering an extensive range of services including expanded surgical services, advanced surgical suites and a catheterization lab The hospital also features a 30,000-square-foot emergency department with pediatric-friendly beds, imaging services, a full-service cafeteria, chapel, gift shop and on-site fire station The hospital opened in December 2017, replacing the 50-bed hospital that AdventHealth had operated in downtown Apopka for more than four decades   Work Hours/Shift: Part Time Days   You Will Be Responsible For:     Coordinates the integration of social services/case management functions into the patient care, discharge planning processes in collaboration with other hospital departments, external service organizations, agencies and healthcare facilities. Performs initial case management assessment to determine care coordination and discharge planning needs. Conducts admission and concurrent medical record review using specific indicators and criteria in accordance with regulatory and contractual requirements as well as internal policy. Uses established medically necessity criteria as described by policy to conduct screening for appropriate-ness of admission (IP verses observation) and continued stay for intensity of service/severity of illness. Escalates cases as appropriate and per policy to Physician Advisor and Director. Collaborates with Bed Management to ensure appropriate bed placement based on level of care. Assimilates information obtained from information systems, service schedules, registration area, Bed Management, clinics, other facilities, and insurance companies to accurately assess patient clinical needs and treatment. Acts as patient advocate by negotiating for, and coordinating resources with payers, agencies and vendors during inpatient and transition phases. Identifies and communicates quality and risk issues to the appropriate staff/departments in a timely manner. Acts as a resource and provides staff and physician education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.       Qualifications What Will You Need:            EDUCATION AND EXPERIENCE REQUIRED : Associates Degree in Nursing Minimum of two yearsâ™ recent acute care experience Minimum of an additional two yearsâ™ experience in healthcare related fields   EDUCATION AND EXPERIENCE PREFERRED : Masterâ™s degree in Nursing Minimum of two years of utilization review/case management experience and a minimum of one year of experience in discharge planning in an acute care setting highly desirable.   LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED : Current valid State of Florida or multi state license as a Registered Nurse   LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED : Case Management certification highly desirable â“ ACM (Accredited Case Manager), CCM (Certified Case Manager), RN-BC (Board Certified in Case Management)   Job Summary: Under general supervision of the Director and/or Manager of Case Management, in collaboration with the patient/family, social workers, physicians and interdisciplinary team, the RN Case Manager ensures patient progression through the continuum of care in an efficient and cost-effective manner. The RN case manager is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning are accountabilities of this role. Education is provided to physicians and other members of the team on the issues related to utilization review including inappropriate admissions and placements. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent. The Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.   This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Thu, 07 Oct 2021 05:16:10 -0400 https://careers.mhanational.org/jobs/rss/15499431/registered-nurse-case-manager-pt-days https://careers.mhanational.org/jobs/rss/15499431/registered-nurse-case-manager-pt-days Winter Park, Florida, Description Case Manager RN AdventHealth Winter Park Location Address:   200 N Lakemont Ave, Winter Park, FL 32792 Top Reasons to work at AdventHealth Winter Park   Winter Park Memorial Hospital has continuously served the residents of Winter Park and its surrounding communities for more than 50 years Chartered in 1951, the hospital has grown from the visionary efforts of a handful of Winter Park residents and community leaders, to a 307-bed acute care facility that is a model of community health and wellness Over the years the hospital has continually expanded to meet the needs of the community, adding an upscale obstetrics and Level II Neonatal Intensive Care Unit at The Dr. P. Phillips Baby Place, cancer care at the AdventHealth Cancer Institute, Winter Park, and state-of-the-art surgery, recovery and rehabilitation at the AdventHealth Orthopaedic Institute   Work Hours/Shift: Part Time (Days)     You Will Be Responsible For:     Coordinates the integration of social services/case management functions into the patient care, discharge planning processes in collaboration with other hospital departments, external service organizations, agencies and healthcare facilities. Performs initial case management assessment to determine care coordination and discharge planning needs. Conducts admission and concurrent medical record review using specific indicators and criteria in accordance with regulatory and contractual requirements as well as internal policy. Uses established medically necessity criteria as described by policy to conduct screening for appropriate-ness of admission (IP verses observation) and continued stay for intensity of service/severity of illness. Escalates cases as appropriate and per policy to Physician Advisor and Director. Collaborates with Bed Management to ensure appropriate bed placement based on level of care. Assimilates information obtained from information systems, service schedules, registration area, Bed Management, clinics, other facilities, and insurance companies to accurately assess patient clinical needs and treatment. Acts as patient advocate by negotiating for, and coordinating resources with payers, agencies and vendors during inpatient and transition phases. Identifies and communicates quality and risk issues to the appropriate staff/departments in a timely manner. Acts as a resource and provides staff and physician education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.   Qualifications EDUCATION AND EXPERIENCE REQUIRED : Associates Degree in Nursing Minimum of two years’ recent acute care experience Minimum of an additional two years’ experience in healthcare related fields   EDUCATION AND EXPERIENCE PREFERRED : Master’s degree in Nursing Minimum of two years of utilization review/case management experience and a minimum of one year of experience in discharge planning in an acute care setting highly desirable.   LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED : Current valid State of Florida or multi state license as a Registered Nurse   LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED : Case Management certification highly desirable – ACM (Accredited Case Manager), CCM (Certified Case Manager), RN-BC (Board Certified in Case Management)   Job Summary: Under general supervision of the Director and/or Manager of Case Management, in collaboration with the patient/family, social workers, physicians and interdisciplinary team, the RN Case Manager ensures patient progression through the continuum of care in an efficient and cost-effective manner. The RN case manager is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning are accountabilities of this role. Education is provided to physicians and other members of the team on the issues related to utilization review including inappropriate admissions and placements. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent. The Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Thu, 07 Oct 2021 05:16:10 -0400 https://careers.mhanational.org/jobs/rss/15499374/registered-nurse-case-manager-prn-days-connerton https://careers.mhanational.org/jobs/rss/15499374/registered-nurse-case-manager-prn-days-connerton Land O' Lakes, Florida, Description   RN Case Manager PRN Days - AdventHealth Connerton Location Address:  9441 Health Center Drive Land O' Lakes, Florida 34637   Top Reasons To Work At AdventHealth Connerton Specialty hospital for medically complex patients Pulmonary and Vapotherm Center of Excellence Staff consists of all Registered Respiratory Therapist, 65% BSN or above RN’s, Current staff certifications include CCRN, PCCN, CNML, WCNC, NEA-BC, and RN-BC Onsite BSN completion program partnership with South University with staff discounted rate Simulation Lab and Clinical Transition Pilot Program Work Hours/Shift: PRN Days   You Will Be Responsible For: SERVICE: Patient satisfaction scores meet organizational goals, HCAHPS Discharge Planning question percentile target score. Strive to provide excellence in service to hospital staff, patients and families. Consistently utilize 5 fundamentals of AIDET Acknowledge, Introduce, Duration, Explanation, Thank you. Committed to working as a team to improve Employee satisfaction and engagement scores. PESONNEL: Demonstrate care for one another and respect for each person’s unique contributions, provides utilization review care that is non-judgmental and non-discriminatory. Demonstrates respect for human dignity and self-worth. Respects patient privacy, confidentiality, and dignity by adherence to all HIPAA regulations. Maintains a professional appearance and manner. FINANCE: Consider factors related to patient safety, effectiveness, cost and impact on practice in the delivery of Case Management services. Strives to reduce Medicare and ALOS below established benchmarks. Assess appropriateness of setting as indicated for medical necessity according to the approved InterQual ISD criteria.  Initial and concurrent clinical reviews contain needed elements to sufficiently support. Utilizes InterQual®ISD & or Milliman criteria to ensure appropriate level of care settings. Passes Annual Inter-Rater reliability testing for InterQual®. Inpatient, Observation or Outpatient in a bed admission status. OUTCOMES: Introduces self to patient/family within 24 to 48 hours of identification of high risk criteria or referral for specified populations and explain CM role.  Complete discharge planning screening tool within 24 to 48 hours for patients with high risk criteria, and cases received by referral.  Provide Parent/Patient/ Guardian/ Significant Other with discharge planning education/instruction based on assessed education level, barriers to learning and learning preferences to assure a positive discharge outcome. Strives to reduce the Medicare & ALOS to below established benchmarks. Strives to reduce the number of observation cases and the number of hours patients remain in observation status. Ensures appropriate referral of cases to EHR for second level review. GROWTH: Identifies and updates current information on community resources. Maintains knowledge of current managed care contracts, federal statutes, regulations and procedures. Applies them in performance of review activities. Enhances professional knowledge & development through participation in educational programs and in-service meetings. Stays current with journal articles etc. Completes annual mandatory education, attend and contributes to 95% of staff meetings.     Qualifications   What You Will Need: Current license of registered nurse in Florida or licensure from another state with verification of application of eligibility for Florida licensure by endorsement Graduate of an accredited School of Nursing, Specific Degree/Major: Nursing One year experience in an acute care environment.   Nice to Have: BSN Greater than Three years’ experience. Any combination of education, training or experience that provides the knowledge, skills and abilities required to successfully accomplish the assigned duties and responsibilities of the position. Case Management Certification   Job Summary: The Case Manager is accountable for the organization, sequence of services and resources that are necessary and appropriate for the achievement of patient care outcomes within effective time frames on a specific group of patients.  In addition, the Case Manager will coordinate the plan of care among all members of the health care team.  The Case Manager must have the professional ability to practice under minimal supervision and perform the following seven essential activities of Case Management: Appropriateness of Setting, Assessment, Planning, Implementation, Coordination, Monitoring and Evaluation, with emphasis on decreasing length of stay and monitoring cost effective health care across the continuum of care.  The Case Manager must complete all initial admission assessments within 24 hours of inpatient admission and match the patient’s ongoing needs with the appropriate level and type of medical, health, psychosocial, or social service as they relate across the continuum of care This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Thu, 07 Oct 2021 05:16:10 -0400 https://careers.mhanational.org/jobs/rss/15560218/registered-nurse-case-manager https://careers.mhanational.org/jobs/rss/15560218/registered-nurse-case-manager Reno, Nevada, The VA Sierra Nevada Health Care System (VASNHCS) RN inpatient case manager coordinates care across the continuum for a group of medical and surgical hospitalized patients to whom they are assigned. Responsible to the Chief, Acute Care Nursing Service. The case manager provides professional assessment, guidance, coordination and planning of multiple health care services; acts on behalf of the patient to assure that necessary services are received and that progress toward level of care transition is being made; and provides ongoing evaluation of case management services. Work Schedule: Monday thru Friday 8:00am to 4:30pm; with flexibility to meet the needs of the patient and program needs. Telework: Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required The major duties and responsibilities include, but are not limited to: Leads and organizes delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning. Uses advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making and evaluating outcomes. Functions as an expert in clinical practice and/or in areas related to the assigned roles and responsibilities. Systematically evaluates current practice, and formulating outcomes for groups of patients and/or organizational processes within area of expertise. Guides, develops and supports staff from a leadership perspective. Uses professional standards of care, scientific evidence and practice to evaluate programs and/or service activities. Thu, 07 Oct 2021 04:12:23 -0400 https://careers.mhanational.org/jobs/rss/15549622/registered-nurse-case-manager https://careers.mhanational.org/jobs/rss/15549622/registered-nurse-case-manager Butler, Pennsylvania, This position is located in the Community Care Department of the Butler VA. This position will evaluate facility and community consults for proper management after the review services requested can be offered within the VA (local and other VISN facilities) and/or if they would need to be sent to the community. Duties include, but aren't limited to: Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning. Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision making, and evaluating outcomes. Functioning as an expert in clinical practice and/or in areas related to the assigned roles and responsibilities. Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within area of expertise. Guiding, developing, and supporting staff from a leadership perspective. Using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities Work Schedule: Monday-Friday, 8:00am-4:30pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Thu, 07 Oct 2021 04:12:23 -0400 https://careers.mhanational.org/jobs/rss/15529599/registered-nurse-case-manager https://careers.mhanational.org/jobs/rss/15529599/registered-nurse-case-manager Columbus, Georgia, The Remote Patient Monitoring Home Telehealth (RPM-HT) Case Manager is accountable for coordinating the appropriate intensity of case management services for a panel of patients throughout the continuum of care. The incumbent assure care is timely, appropriate, of high quality and cost effective. Practice: Applies the nursing process to systems or processes at the unit/team/ work group level to improve care. Demonstrates leadership by involving others improving care. Demonstrates the knowledge and skills necessary to provide care appropriate to the age and complexity of the patients served in his/her assigned service area. Demonstrates knowledge of the changes associated with aging and the principles of growth and development relevant to the adult and geriatric patient group. Incumbent must have knowledge and the ability to apply developmental theory anal age specific issues. Access's and interprets data about the patient's social, emotional, mental health, medical needs and coordinates the care/services needed Has knowledge of the vast array of VA, federal, state and local community agencies and resources and how to access and coordinate these services. Demonstrates knowledge and skills in interpersonal relations. This includes the ability to appropriately, professionally and courteously relate to internal and external customers. Ethics: Supports and enhances patient self-determination. Serves as a resource for clients and staff in addressing ethical issues. Maintains and role-models ethical consciousness by demonstrating sensitivity to the ethical implications of daily actions in order to preserve confidentially of all patients and medical center information and prevent conflicts of interest. Maintains ethical competencies and conduct in order to make mature professional decisions that reflect compassion, respect justice, and the recognition of human fallibility. Identifies, analyzes, and alerts the next level supervisor regarding ethical/legal issues related to nursing practice to promote timely resolutions. Serves as an advocate for the patient and family to ensure their partnership in the plan of care and decision- making regarding the care provided. Resource Utilization: Identifies and assesses resource utilization and safety issues, taking appropriate action. Identifies resource requirements for defined patient population based on plans of care. Demonstrates flexibility/adaptability to maximize available resources in order to ensure comprehensive, effective healthcare delivery. Identifies and assesses resources (financial, human, delegating, and adjusting assignments and willingly assisting/leading co-workers when needed. Identifies potential problems involving resources and/or safety and takes action to avert or manage the situation in a manner which safely and therapeutically meets the needs of clients. Work Schedule: Monday - Friday 8:00AM - 4:30PM Financial Disclosure Report: Not required Thu, 07 Oct 2021 04:12:23 -0400 https://careers.mhanational.org/jobs/rss/15573359/case-manager-lead-ft-days https://careers.mhanational.org/jobs/rss/15573359/case-manager-lead-ft-days Apopka, Florida, Description Case Manager Lead RN AdventHealth Apopka Location Address: 2100 Ocoee Apopka Rd, Apopka, FL 32703 Top Reasons to work at AdventHealth Apopka   AdventHealth Apopka is a seven-story, 120-bed hospital offering an extensive range of services including expanded surgical services, advanced surgical suites and a catheterization lab The hospital also features a 30,000-square-foot emergency department with pediatric-friendly beds, imaging services, a full-service cafeteria, chapel, gift shop and on-site fire station The hospital opened in December 2017, replacing the 50-bed hospital that AdventHealth had operated in downtown Apopka for more than four decades   Work Hours/Shift: Full Time Days   You Will Be Responsible For:     Monitors performance of the staff and report’s findings to the nurse manager or takes corrective action for improvement as appropriate. Demonstrates familiarity with the performance improvement model of the organization. Support performance improvement activities on the unit through problem identification, assessment, data gathering, change implementation, and evaluation of outcomes. Is supportive of Process Improvement Initiatives by sponsoring and/or participating in the activities. Ensures that practice changes, as a result of performance improvement activities, are implemented. Supports quality standards and initiatives set by the department. Utilizes critical thinking skills in the performance of their duties. Supports the planning, organizing, and leading of the unit through application of critical thinking skills. Utilizes data driven decision making, incorporating evidence into the decision process. Demonstrates an understanding of the technology utilized on the unit. Appropriately integrates technology into the day-to-day care of the patient and leverage technology to improve patient care outcomes     Qualifications What Will You Need:            EDUCATION AND EXPERIENCE REQUIRED : Experience as a Registered Nurse  OR Bachelorâ™s Degree in Social Work (BSW)   EDUCATION AND EXPERIENCE PREFERRED : If RN, Bachelorâ™s degree of Nursing Masterâ™s degree in Social Work MSW Experience in acute care hospital discharge planning   LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED : If RN, Current and valid Florida or Multi-State Department of Health Nursing License   LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED : Accredited Care Manager (ACM)     Job Summary: The Care Manager Lead (CML) is a care management professional who supports the Care Management Operations Manager and/or Senior Manager in overall operations of the Care Management staff.  Exhibits critical-thinking skills, creativity, and manages resources to achieve quality performance, positive employee relations and compliance with hospital guidelines. The CML staffs, trains, mentors and facilitates workflow processes within the care management team in the delivery of services to our patient population. The CML ensures quality care is delivered to our patients and effective stewardship of scarce resources.  Supports change activities and works to ensure implementation of change that may occur.  In the absence of the Operations Manager and Senior Manager, escalates all issues up to their immediate supervisor.  Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.   This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Thu, 07 Oct 2021 05:16:10 -0400 https://careers.mhanational.org/jobs/rss/15529365/registered-nurse-case-manager-10-000-sign-on-bonus-ft-weekends https://careers.mhanational.org/jobs/rss/15529365/registered-nurse-case-manager-10-000-sign-on-bonus-ft-weekends Nashville, Tennessee, Description RN Case Manager (FT Weekends) Transition Management Office, VUMC * $10,000 Sign On Bonus Your Role: The Case Manager collaborates with the health care team to coordinate patient and family interventions across the continuum of care, removing barriers and promoting efficient and effective use of resources. Assists patients and families in establishing patient specific goals, both long term and short term. Facilitates appropriate follow up care and/or refers patients (within the designated patient population) to the appropriate next level or site of care. Serves in an advocacy role on behalf of patients, families, and caregivers to ensure safe, equitable healthcare provision. Assists in developing and meeting key Pillar outcomes and system improvement goals including financial, satisfaction, and clinical as the nursing component of the care coordination model. Assists in the nursing component of developing and meeting key Pillar goals including finance, satisfaction, clinical quality of care, innovation, and growth across the continuum of care. * $10,000 Signing Bonus for eligible candidates. KEY RESPONSIBILITIES: Assesses and identifies patients with complex clinical needs that require a coordinated plan of care. Develops case management plan that includes strategies or alternative interventions required to attain optimal patient and family specific outcomes. Analyzes progress on the plan of care, identifies variances, and intervenes utilizing process improvement methodologies to remove barriers and progress care. Integrates ethical provisions in all areas of the practice. Demonstrates leadership skills and acts as the key information and education resource for the interdisciplinary team as related to caring for complex needs and securing appropriate services. The responsibilities listed are a general overview of the position and additional duties may be assigned. Position Shift: (2) 12-hour shifts on the weekend and (2) 8-hour shift during the week. There may be some flexibility for (4) 10-hour shifts. Department/Unit Summary: Vanderbilt University Medical Center (VUMC) is accepting applications for a RN Case Manager role within our Transition Management Office (TMO). The TMO administrative office is located in Medical Center North, on campus serving VUMC. Transition management or commonly referred to as care coordination is a thriving department comprised of nurses, social workers and support personnel. Currently there are 150 staff however the department has increased their staff needs to enhance the patient experience at Vanderbilt. The Vice President of TMO is Marcia Colone, Ph.D. who has over 25 years of experience in care management. Dr Colone leads a team of experienced Directors and Team Leads who mentor, coach and support staff within the coordination team. Please let us know if you are interested in joining a dynamic team! Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. It is a place where your diversity -- of culture, thinking, learning and leading -- is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research. Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center's mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. Achieve the Remarkable: Learn more about VUMC Nursing: Nursing Careers : http://www.vumcnursingcareers.com/index.html Benefits : http://www.vumcnursingcareers.com/benefits.html Our Nursing Philosophy : http://www.vumcnursingcareers.com/philosophy.html Our Nursing Leadership : http://www.vumcnursingcareers.com/leadership.html Shared Governance : http://www.vumcnursingcareers.com/shared-governance.html Education & Professional Development : http://www.vumcnursingcareers.com/professional-development.html Life In Nashville : http://www.vumcnursingcareers.com/nashville.html VUMC Nursing : http://www.mc.vanderbilt.edu/root/vumc.php?site=vanderbilt-nursing * RN Case Manager Sign-On Bonus Eligibility Requirements: The sign on bonus is not applicable to current VUMC staff or former staff who have worked for VUMC in the past two years. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered: Affordable High Quality Health Plan Options Dental and /or vision plan 403 (b) retirement plan Paid Time off (flex PTO) Tuition Reimbursement and adoption assistance (maximums applied) Short-Long term disability Subsidized backup childcare And many more... Ask us about our current inpatient nursing supplemental Pay Program!! Thu, 07 Oct 2021 04:04:56 -0400 https://careers.mhanational.org/jobs/rss/15511891/registered-nurse-case-management-manager-full-time-days https://careers.mhanational.org/jobs/rss/15511891/registered-nurse-case-management-manager-full-time-days Brownsville, Texas, Summary Under direct supervision is responsible for facility level management and. is accountable for coordinating, executing, monitoring and evaluating department activities. Case Management encompasses utilization review, resource management, coordination of care, transition/discharge planning, and social work services across the episode of care. Completes established competencies for the position within designated introductory period. Performs other related duties as assigned. Qualifications: Position Qualifications Education MINIMUM EDUCATION: Graduate of an accredited School of Nursing or Social Work. PREFERRED EDUCATION: Bachelorâ??s or Masterâ??s Degree in Nursing Experience MINIMUM EXPERIENCE: 2 years of utilization/case management experience. Preferably 2 years of utilization / case management experience and/or 3 years of nursing clinical supervision experience1 year supervisory experience. Demonstrates computer knowledge of programs related to position and displays competency on an ongoing basis. PREFERRED EXPERIENCE: Previous Case Management Supervisory experience. Certifications/Licensure Required: Possession of current Texas State license for Registered Nurse or LMSW/LCSW; BLS-obtained through approved American Heart Association Training; At Hire or obtained within 10 working days before assuming patient care Preferred: Certification in Case Management (CCM, ACM) #LI-JC2 Job: Managers and Directors Primary Location: Brownsville, Texas Facility: Valley Baptist Medical Center - Brownsville Job Type: Full-time Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Thu, 07 Oct 2021 05:00:35 -0400 https://careers.mhanational.org/jobs/rss/15392706/registered-nurse-rn-case-manager-utilization-review-pd-days https://careers.mhanational.org/jobs/rss/15392706/registered-nurse-rn-case-manager-utilization-review-pd-days Long Beach, California, Position Summary To provide safe, cost-effective patient care through the health experience, according to established standards utilizing the nursing process, within the scope of practice of Registered Nursing.  The case manager is a licensed professional who coordinates and facilitates the ongoing care and  appropriate discharge plan of a specific caseload of patients through the continuum of care.  The case manager collaborates with members of the health care team, the patient, and their family to assure effective, efficient, and appropriate care and outcomes. Fiscal responsibilities include management of utilization, providing clinical information to payors and assuring appropriate reimbursement.    Thu, 07 Oct 2021 03:37:00 -0400 https://careers.mhanational.org/jobs/rss/15532008/registered-nurse-case-manager-per-diem-weekends-days https://careers.mhanational.org/jobs/rss/15532008/registered-nurse-case-manager-per-diem-weekends-days San Antonio, Texas, Summary Registered Nurse / RN Case Manager Responsible to facilitatecare along a continuum through effective resource coordination to help patient achieve optimal health, access to care and appropriate utilization of resources balanced with the patientâ??s resources and right to self-determination. Registered Nurse / RN Case Manager Has overall responsibilityfor ensuring that care is provided at the appropriate level of care based on medical necessityand to assess the patient for transition needsto provide timely throughput, safe dischargeand prevent avoidable readmissions.Integrates the national standards forcare management scope of services including:Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction;Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at appropriate level of care;Compliance with state and federal regulatory requirements,TJC accreditation standards and Tenet policy;Education provided to physicians, patients, families and caregivers.Registered Nurse / RN Case Manager Completes established competencies for the position within designated introductory period. Other related duties as assigned to Registered Nurse / RN Case Manager Qualifications: Education Required: Graduate of an accredited School of Nursing Preferred: Bachelors or Masters Degree in Nursing Experience Required: Two (2) years acute hospital patient care experience. Utilization/case management experience. Certifications Required: Possession of current Texas State license for Registered Nurse Preferred: AccreditedCase Management (ACM) Required Courses/Licensure BLS-Obtained through approved American heart Association Training Center or the Military Training Network #LI-AP1 Job: Case Management/Home Health Primary Location: San Antonio, Texas Facility: Mission Trail Baptist Hospital Job Type: PT2Y Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Thu, 07 Oct 2021 05:00:35 -0400 https://careers.mhanational.org/jobs/rss/15477657/registered-nurse-case-manager-i-full-time-days https://careers.mhanational.org/jobs/rss/15477657/registered-nurse-case-manager-i-full-time-days Modesto, California, Doctors Medical Center Modesto is a full-service, comprehensive health care facility, dedicated to providing the finest medical care for the community. From preventative and diagnostic services, to expertise in some of the world's leading technologies, DMC's multidisciplinary team of physicians and healthcare professionals is dedicated to your good health and well-being. Recognized for innovative cardiac and neonatal intensive care to advanced stroke and trauma treatment, the outstanding doctors at DMC represent most major medical specialties and are committed to being there for you, when you need them most. We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions. Summary The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patientâ??s resources and right to self-determination. The Registered Nurse has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. Registered Nurse integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy Education provided to physicians, patients, families and caregivers Responsibilities Registered Nurse â??s responsibilities include the following activities: Accurate medical necessity screening and submission for Physician Advisor review, Care coordination, Transition planning assessment and reassessment, Implementation or oversight of implementation of the transition plan, Leading and facilitating multi-disciplinary patient care conferences, Managing concurrent disputes, Making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, Communicating with patients and families about the plan of care, Collaborating with physicians, office staff and ancillary departments, Leading and facilitating Complex Case Review, Assuring patient education is completed to support post-acute needs , Timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information, Identification and documentation of potentially avoidable days, Identification and reporting over and underutilization, And other duties as assigned Qualifications: Education Preferred: Bachelor of Science in Nursing (BSN) Experience Required: Two (2) years acute hospital patient care experience. Preferred: Acute hospital case management experience. Certifications Required: Active Registered Nurse license. Preferred: Accredited Case Manager (ACM) #LI-AR2 Job: Case Management/Home Health Primary Location: Modesto, California Facility: Doctors Medical Center of Modesto Job Type: Full-time Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Thu, 07 Oct 2021 05:00:35 -0400 https://careers.mhanational.org/jobs/rss/15477651/registered-nurse-case-manager-i-full-time-days https://careers.mhanational.org/jobs/rss/15477651/registered-nurse-case-manager-i-full-time-days Modesto, California, Doctors Medical Center Modesto is a full-service, comprehensive health care facility, dedicated to providing the finest medical care for the community. From preventative and diagnostic services, to expertise in some of the world's leading technologies, DMC's multidisciplinary team of physicians and healthcare professionals is dedicated to your good health and well-being. Recognized for innovative cardiac and neonatal intensive care to advanced stroke and trauma treatment, the outstanding doctors at DMC represent most major medical specialties and are committed to being there for you, when you need them most. We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions. Summary The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patientâ??s resources and right to self-determination. The Registered Nurse has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. Registered Nurse integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy Education provided to physicians, patients, families and caregivers Responsibilities Registered Nurse â??s responsibilities include the following activities: Accurate medical necessity screening and submission for Physician Advisor review, Care coordination, Transition planning assessment and reassessment, Implementation or oversight of implementation of the transition plan, Leading and facilitating multi-disciplinary patient care conferences, Managing concurrent disputes, Making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, Communicating with patients and families about the plan of care, Collaborating with physicians, office staff and ancillary departments, Leading and facilitating Complex Case Review, Assuring patient education is completed to support post-acute needs , Timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information, Identification and documentation of potentially avoidable days, Identification and reporting over and underutilization, And other duties as assigned Qualifications: Education Preferred: Bachelor of Science in Nursing (BSN) Experience Required: Two (2) years acute hospital patient care experience. Preferred: Acute hospital case management experience. Certifications Required: Active Registered Nurse license. Preferred: Accredited Case Manager (ACM) #LI-AR2 Job: Case Management/Home Health Primary Location: Modesto, California Facility: Doctors Medical Center of Modesto Job Type: Full-time Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Thu, 07 Oct 2021 05:00:35 -0400