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The University of Miami, UMH has an exciting opportunity for an RN Case Manager in the Case Management department at the UTower location.This position functions as a Level 2 Case Manager for the Case Management Department under the direction of the Director of Case Management. The Level 2 Case Manager will incorporate the fundamental principles of utilization management, monitoring resource consumption, social services intervention and individual discharge planning that will include assuring that the transfer or discharge of a patient to another level of care, treatment, services or different setting is always based on the patient's assessed needs and the organizations capabilities to meet these needs.
In addition, the Case Manager II helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). Facilitates delivery of clinical and community services to patients and families through effective utilization of available resources. Manage the observation patients on their assigned unit, conduct InterQual reviews for admission, and continued stay per policy, report avoidable days and facilitate clinical reviews to third party payors Ensures the appropriateness and cost effectiveness of patient's plan of care. Report all complex cases to the Director and/or Operations Manager as often as necessary. Proactively collaborate with physicians(s) to develop patient care plans and review for medical necessity for continued hospital services and resource consumption.
A BSN graduate of an accredited school of nursing with a valid State of Florida RN license. A minimum of one year in Hospital Case Management/nursing; a good working knowledge of patient assessment, medical terminology.
Must have current BLS certification. Any combination of relevant education, work experience, and / or certifications will be considered.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean.
Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami offers competitive salaries and a comprehensive benefits package including medical and dental benefits, tuition remission, vacation, paid holidays and much more.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
University Of Miami Miller School Of Medicine