Registered Nurse Case Manager, Case Management, FT, 8A-4 : 30P

Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.

What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients’ shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we’re all in.

Description

The purpose of the RN Case Manager 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. The RN Case Manager 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. Estimated salary range for this position is $73860.80 - $98234.86 / year depending on experience.

Qualifications

Degrees : Associates.

Licenses & Certifications :

Registered Nurse.

Additional Qualifications

RNs hired prior to 2 / 2012 (10 / 1 / 2017 at Bethesda or 7 / 1 / 2019 at BRRH) with an Associate Degree are not required to have a BSN to continue their non-leadership role as an RN, however, they are required to complete BSN within 5 years of job entry date.

3 years of hospital clinical experience with a minimum of 1-3 years of hospital or payor Case Management experience preferred.

Excellent interpersonal communication and negotiation skills.

Strong analytical, data management and computer skills.

Current working knowledge of discharge planning, utilization management, case management and performance improvement preferred.

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

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.

Minimum Required Experience : 3 Years

EOE, including disability / vets