RN Case Manager PRN
Case Management Department
PRN, Varied Shift, .0001 FTE
University Hospital and Medical Center
Tamarac, FL

Facility Description:
University Hospital and Medical Center is a 317-bed acute care hospital offering a wide range of surgical and medical services Since opening in 1974, we have distinguished ourselves as a leader in breakthroughs in orthopedic care as well as joint replacement. We continue to build on this tradition in our Orthopedic and Spine Institute. Our Center for Behavioral Health offers inpatient child, adolescent, adult and geriatric services while our outpatient services include a Partial hospitalization program (PHP), Intensive outpatient program (IOP) and a 24-hour behavioral health support hotline. They are also a certified Baker Act receiving facility. University is licensed by Florida's Agency for Health Care Administration and certified by the Joint Commission as a Primary Stroke Center. Our family-friendly ER provides expert, compassionate care for patients of all ages and special accommodations for seniors. Other specialty services include a wound care center as well as comprehensive diagnostic services accredited in multiple modalities including pediatric CT imaging by the American College of Radiology.

We continue a proud tradition of providing high quality personalized care in our local community. Explore possibilities to join our team where colleagues are valued and pledge to treat one another with loyalty, respect, and dignity.

Benefits:
We are committed to providing our employees with the support they need. At University Hospital and Medical Center, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:

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  Student Loan Repayment*
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  Tuition Reimbursement/Assistance Programs*
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  Paid Personal Leave
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  401k (100% annual match - 3% to 9% of pay based on years of service)
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  Identity Theft Protection discounts
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  Auto, Home, and Life Insurance options
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  Adoption Assistance
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  Employee Stock Purchase Program (ESPP)*

• If applicable, please refer to the CBA or the local HR office to confirm if this benefit applies to your position.

Job Description:
The RN CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

Responsibilities:

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  Provides case management services for both inpatient and observation patients as assigned.
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  Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
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  Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family.
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  Reassesses the patient's clinical condition as indicated. Considers patient's readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community-based resources.
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  Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition.
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  In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate.
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  The RN CM is responsible for timely referral to Social Services when risk factors for psychosocial determinants of health are identified.
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  Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals.
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  Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease states.
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  Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency.
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  Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team.
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  Align patient's needs with available resources to ensure a safe discharge / transition.
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  Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered.
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  Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources.
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  Adheres to established policy and procedure and standards of care; escalates issues through the established chain of command timely.
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  Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives Serve as an advocate for patient's rights, needs, and values; ensuring that patients' ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned.
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  Other duties as assigned

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  RN with current state licensure; BSN preferred
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  Three years' clinical, hospital nursing experience required with preference given to those with 2 years of case management experience or 2 years of critical care experience
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  Certification in case management or utilization review preferred
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  InterQual experience preferred