RN Case Manager - ER Entry Point - FT - Mid Shift (12pm - 12am)- 10K Sign on Bonus - MRH
Company: Memorial Healthcare System
Location: Hollywood
Posted on: May 23, 2025
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Job Description:
Location:Hollywood, FloridaWe have an outstanding reputation for
providing patient- and family-centered care that exceeds all
expectations. Together, we have created an award-winning,
nationally-recognized system where every effort is focused on
delivering Deeper Caring and Smarter Healthcare throughout our
communities. Career opportunities exist on diverse teams across our
many facilities where you can search open positions and apply
online to join #teamMHSflorida.Learn more below.SummaryThe role of
the Entry Point Case Manager is to provide utilization management
and safe discharge planning for patients presenting to the
Emergency Department (ED) or other entry points in need of care.
Works in collaboration with the healthcare team to problem solve
patient difficulties in the case management arena. Addresses the
patient's healthcare service needs as identified in the Emergency
Department.ResponsibilitiesProvides discharge planning which
focuses on the identification of available services or options for
placement for ED patients. Identifies high risk patients who are
greater risk for recurrent visits to the ED.Works with multi-visit
patients to offer resources in the community and/or refer to ED
Social Work for referrals to social service organizations.Performs
utilization management responsibilities focused on determination of
appropriate admission status utilizing criteria-based review and
provision of resources and education to the healthcare team.
Assigns appropriate admitting status: place in observation
vs.admit.Works to support appropriate medical record
documentation.Develops working relationships with community health
resources to improve outpatient access to healthcare for ED
population.a. Tracks clinic patients/frequency of ED use for
non-acute care.b. Provides clinic patients options for future
non-acute care.c. Tracks barriers to clinic access.Screens all ED
patients with potential for admission identifying payer
source.Provides support for other entry points as indicated, which
includes: Responding to requests about status in the PACU, and
supporting the Care Coordination Center in decision making
regarding acute care transfers and direct admits.Identifies and
addresses patients with frequent ED use for non-urgent care or
patients with high hospital admission rates.Works with attending/ED
medical staff to assign appropriate
designation.CompetenciesACCOUNTABILITY, ANALYSIS AND DECISION
MAKING, CLINICAL POLICIES AND STANDARDS, CUSTOMER SERVICE,
DISCHARGE PLANNING CLINICAL EFFECTIVENESS, PATIENT AND FAMILY
CENTERED CARE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM
WORKEducation And Certification RequirementsAccredited Program:
Nursing (Required)BLS American Heart E-Card (BLS AHA ECARD) -
American Heart Association (AMERICAN HEART), BLS American Heart RQI
E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN
HEART), BLS Cert American Heart_non ecard (BLS AHA) - American
Heart Association (AMERICAN HEART), BLS Certification Grace (BLS
GRACE) - Employee Grace Period for Essential Credential (GRACE),
BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS), Registered
Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate,
Registered Nurse License (RN LICENSE) - State of Florida
(FL)Additional Job InformationComplexity of Work: This role
requires decisive judgment with the ability to build and foster
positive relationships. The incumbent must be able to lead others
and take appropriate action when required. Must be able to provide
education and resources relevant to the effective progression of
care, utilization of services, appropriate level of care, and safe
patient transition to the patient/family and health care team.
Solid clinical assessment, critical thinking, decision making and
organizational skills. Demonstrated interpersonal skills, effective
written and verbal communication skills, and ability to work
collaboratively with internal and external customers. Knowledge of
relevant Federal and State utilization review and appeal
requirements preferred. Required Work Experience: Five (5) years'
RN experience. Experience with medical necessity criteria,
experience in discharge planning in an acute care setting and
experience in an ED setting preferred. Other Information:
Additional Education Info: Bachelor of Science in Nursing
preferred.Additional Certification Info: Certification of Case
Management (CCM) preferred.Working Conditions And Physical
Requirements
Keywords: Memorial Healthcare System, Doral , RN Case Manager - ER Entry Point - FT - Mid Shift (12pm - 12am)- 10K Sign on Bonus - MRH, Executive , Hollywood, Florida
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