Registered Nurse Case Manager, Case Management, FT, 08A-4 : 30P

Baptist Health South Florida, the region's largest not-for-profit healthcare organization with 12 hospitals, more than 28,000 employees, 4,500 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties, now includes Boca Raton Regional Hospital, an advanced tertiary medical center with 400 beds and is a recognized leader in Cardiovascular Care, Oncology, Women's Health, Orthopedics, Emergency Medicine and the Neurosciences, all of which offer state-of-the-art diagnostic and imaging capabilities. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.

Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians. Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.

This year, and for 24 years, we've been named one of Fortune's 100 Best Companies to Work For, based on employee feedback. We've also been recognized as one of America's Most Innovative Companies and People Magazine included us in 50 Companies That Care. Based on the U.S. News & World Report 2024-2025 Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.

But really, the reason we're excited to come to work is the people.

Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs. We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it's like to be in their shoes. Many of us have been patients here and have had family members as patients here. We're committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes. When it comes to caring for people, we're all in.

Description

The purpose of the RN Case Manager 2 position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care. The role integrates and coordinates care facilitation and discharge planning functions while working in partnership with the UR RN and Social Work Case Manager. In addition, the RN Case Manager 2 helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The RN Case Manager 2 is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources. Specific functions within this role include : Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement, Application of process improvement methodologies in evaluating outcomes of care, Coordinating communication with the healthcare team, patients, families and post-acute care services, Readmission screening and prevention, Mentor and precept case managers as needed. Estimated salary range for this position is $79331.20 - $103130.56 / year depending on experience.

Qualifications :

The purpose of the RN Case Manager 2 position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care. The role integrates and coordinates care facilitation and discharge planning functions while working in partnership with the UR RN and Social Work Case Manager. In addition, the RN Case Manager 2 helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The RN Case Manager 2 is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources. Specific functions within this role include : Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement, Application of process improvement methodologies in evaluating outcomes of care, Coordinating communication with the healthcare team, patients, families and post-acute care services, Readmission screening and prevention, Mentor and precept case managers as needed. Estimated salary range for this position is $79331.20 - $103130.56 / year depending on experience.Degrees :

• Bachelors.

Licenses & Certifications :

ANCC Nursing Case Management.

ANCC Nurse Executive, Advanced Certification.

ANCC Nurse Executive - Board Certified.

AAMCN Utilization Review Professionals.

McKesson Certified Professional in Utilization Management.

NAHQ Certified Professional in Healthcare Quality.

NACCM Care Manager Certified.

ACMA Case Management Administrator Certification.

CCMC Case Manager.

ACMA ACM Certification.

Registered Nurse.

Additional Qualifications :

RNs hired prior to 2-2012 (10 / 1 / 2017 at Bethesda or 7 / 1 / 2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN.

however, they are required to complete the BSN within 5 years of job entry date.

RN license and one of the listed certifications required at job entry.

3-5 years of hospital clinical experience preferred and 2 years of hospital or payor Case Management experience required.

Excellent interpersonal communication and negotiation skills.

Strong analytical, data management and computer skills.

Current working knowledge of transitions of care, utilization management, case management and performance improvement.

Understanding of pre-acute and post-acute venues of care and post-community resources preferred.

Current working knowledge of Milliman Care Guidelines (MCG) and InterQual criteria.

Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.

Ability to work independently and exercise sound judgment in interactions with the health care team and patients / families.

Degrees :

Bachelors.

Licenses & Certifications :

ANCC Nursing Case Management.

ANCC Nurse Executive, Advanced Certification.

ANCC Nurse Executive - Board Certified.

AAMCN Utilization Review Professionals.

McKesson Certified Professional in Utilization Management.

NAHQ Certified Professional in Healthcare Quality.

NACCM Care Manager Certified.

ACMA Case Management Administrator Certification.

CCMC Case Manager.

ACMA ACM Certification.

Registered Nurse.

Additional Qualifications :

RNs hired prior to 2-2012 (10 / 1 / 2017 at Bethesda or 7 / 1 / 2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN.

however, they are required to complete the BSN within 5 years of job entry date.

RN license and one of the listed certifications required at job entry.

3-5 years of hospital clinical experience preferred and 2 years of hospital or payor Case Management experience required.

Excellent interpersonal communication and negotiation skills.

Strong analytical, data management and computer skills.

Current working knowledge of transitions of care, utilization management, case management and performance improvement.

Understanding of pre-acute and post-acute venues of care and post-community resources preferred.

Current working knowledge of Milliman Care Guidelines (MCG) and InterQual criteria.

Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.

Ability to work independently and exercise sound judgment in interactions with the health care team and patients / families.