Registered Nurse Case Manager PRN

Job Description
Work Hours/Shift
Per Diem
Florida Hospital Connerton
At Florida Hospital at Connerton, we deliver meaningful care by getting to know our patients and their families. Our 50-bed hospital is designed to serve individuals who have medically complex illnesses requiring additional weeks of specialized hospital care.
The unique care environment of a long-term acute-care hospital means that our patients and their visitors will spend more time with us than at other hospitals. For that reason, we've designed our hospital to be a comfortable environment. Our specially trained staff are not only experts in providing advanced care, but also have friendly, compassionate personalities that help ease the stress that can be associated with long-term illnesses. The 48,000-square foot, one-story Florida Hospital at Connerton Long Term Acute Care features all private rooms, an operating room for minor inpatient procedures, a chapel, inner courtyard and dining area.
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.
What will you need?
Individuals must possess these knowledge, skills and abilities and be able to explain and to demonstrate that s/he can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities.
Application of InterQual?? Criteria set.
Assessment competency and knowledge application for all ages from newborn to geriatric.
Assessment competency for appropriate use of hospital services and care coordination.
Excellent oral communication skills.
Excellent written communication skills.
Excellent computer skills.
Ability to work independently
Graduate of an accredited School of Nursing, Specific Degree/Major: Nursing
One year experience in Case Management in an acute care environment.
BSN (Preferred)
Greater than Three years' experience. (Preferred)
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. (Preferred)
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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