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Registered Nurse Case Manager Per Diem Days

Company: Good Samaritan Medical Center
Location: Lake Worth
Posted on: January 6, 2022

Job Description:

SummaryThe 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 patient'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 preventionTransition Management promoting appropriate length of stay, readmission prevention and patient satisfactionCare Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of careCompliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policyEducation provided to physicians, patients, families and caregiversResponsibilitiesThe individual'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:
    EducationPreferred: Bachelor of Science in Nursing (BSN)ExperienceRequired: Two (2) years acute hospital patient care experience.Preferred: Acute hospital case management experience.CertificationsRequired: Active Registered Nurse license.Preferred: Accredited Case Manager (ACM) #LI-DD1Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.Job: Case Management/Home HealthPrimary Location: West Palm Beach, FloridaFacility: Good Samaritan Medical CenterJob Type: PT2YShift Type: DaysEmployment practices will not be influenced or affected by an applicant's or employee'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.

Keywords: Good Samaritan Medical Center, Palm Beach , Registered Nurse Case Manager Per Diem Days, Executive , Lake Worth, Florida

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