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Case Manager (RN)
Titan Placement GroupGainesville, FL, United States5 days ago
Job type
- Permanent
Job descriptionConducts initial and ongoing assessment of each patient with respect to clinical condition, level of care, and plan of care. Reviews admission, pre-op orders for all components necessary for preadmission, and admission process. Assist the physician offices in obtaining necessary assessments prior to surgery, procedures, and / or admission. Include patients and family in care facilitation and education activities. Assist in the development and implementation of critical pathways. Utilizes computer support and physician advisor to determine potential outliers (length of stay and changes in condition) in continued hospital stay. Communicates the benefits and changes in the various benefit plans, both in terms of health management and financial implications to physicians, and patients and families as appropriate. Assists in management of payor denials; issues hospital-initiated notices of non-coverage (HINNs) Distinguish between the levels of care available and interact with the various benefit plans and their delivery systems to coordinate this care across the continuum. Defines desired clinical outcomes, sets target dates, and establishes a plan for required services and care, addressing all needs (i.e., physical, psycho-social, financial). Participates in IDT rounds, Conducts utilization review, evaluates clinical information, and communicates findings to physicians and payors on a timely basis by the NFRMC Utilization Review Plan and managed care contractual agreements. Submits clinical information to insurance companies to ensure all days are authorized and notifies director of continued stay denials. Applies decision support criteria (e.g., Interqual) appropriately. Maintains accurate, up-to-date documentation in MIDAS. Is cross-trained to function in any of the assigned Case Manager areas. Promotes close alignment with medical and ancillary staff to facilitate appropriate patient care delivery, including alternative levels of care opportunities. Completes required documentation for transfer to the next level of care. Coordinates with physician for optimal information related throughout the continuum. Assists with patient / family / significant other's learning needs, abilities, and readiness to learn. Identifies barriers to learning, such as language or culture. Integrates this information into the patient's plan of care. Identifies and documents patient / family / SO's education needs in collaboration with other disciplines and implements an ongoing education relevant to these needs. Documents patient teaching on appropriate teaching tool for each teaching episode. Ensures patient / family / SO understand discharge instructions Looking for Recent (within the last year) experienced acute care Case Manager experience Will also consider someone that has case management experience in an LTAC facility Must have good critical thinking skills. They need to know and understand the medical needs for patients Certification in Case Management, Nursing, or Utilization Review is preferred Florida RN license and / or approved multistate RN license required. Compact license holders have 60 days to obtain a Florida license after relocation. BLS-AHA provider-issued card required within 30 days of start years of RN experience in an acute care setting is required Graduate of an accredited school of nursing as an RN. BSN preferred.
Case Manager (RN)
Case Manager (RN) needed in Gainesville, FL.
Titan Placement Group invited you to explore an opportunity in Gainesville, Fl. Enjoy world-class museums, performing arts, and live music. Explore 8 state parks with more than 100 miles of trails for biking, birding, and hiking or cool off in crystal-blue freshwater springs. When you're done with your day, kick back at a craft brewery and savor innovative cuisine and specialty cocktails at inspired local restaurants.
This position is with a progressive, financially stable Hospital System.
Salary and Benefits
- Hourly Rate- $32 - $41.14 midpoint 10 years of experience $45.25 max
- Evening differential is $2.00, and Weekends are $2.00
- Sign-on Bonus - $15,000
- Relocation Assistance
- Health Benefits
- Dental and Vision Insurance
- Life Insurance
- Long Term / Short Term Disability
- Health Savings Account
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Paid Time Off
Responsibilities
Requirements :
About US
Titan Placement Group is a permanent placement healthcare recruiting firm that is bridging the gap between healthcare companies and high-quality candidates. We do that by utilizing our core values of communication, collaboration, and accountability. Titan Placement Group is an EEO / AA / Disability / Protected Veteran Employer. We encourage minority and female candidates to apply.
If interested, please apply, or email your resume to Jason@titanplacement.com
We can always be reached by phone at (941) 269-1000
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Rn Case Manager • Gainesville, FL, United States
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