ED Clinical Care Manager FT Evening in Daytona Beach, FL at FH Memorial Medical Center

Date Posted: 8/18/2018

Job Snapshot

  • Job Schedule
    Full-Time
  • Job Category
  • Date Posted:
    8/18/2018
  • Job ID:
    18005878
  • Job Function
    Case Management
  • Travel
    No
  • Shift
    2 - Evening
  • AHS Zone
    1-Shared Services
  • Organization
    FH Memorial Medical Center

Job Description


Description

Work Hours/Shifts

FT/Evening

Florida Hospital Memorial Medical Center    

     Our goal at Florida Hospital Memorial Medical Center is simple: to offer our patients the absolute best care around, in the most compassionate, community-focused setting possible.

     Florida Hospital Memorial Medical Center consists of two campuses: a 277-bed main hospital in Daytona Beach and a 119-bed hospital in Ormond Beach, as well as our new outpatient facility, located at the Pavilion at Port Orange. Through our Christian mission of hope, health and healing, we strive to promote wellness of mind, body and spirit. We are a recipient of the 2012 Governor’s Sterling Award, which is the highest award an organization in Florida can receive for performance excellence.

     More than 400 physicians hold privileges to practice at our facilities, and we employ more than 1,700 care-team members. Our specialties include cardiology, cancer, emergency care, surgical services, obstetrics, neurosurgery, stroke care, rehabilitation, weight-loss surgery, imaging, laboratory, home health, wound care, diabetes, hospice, physician practices and women’s services.

     Patients and families from across the country appreciate Florida Hospital Memorial Medical Center’s unique culture. Our cutting-edge technology is accompanied by the holistic environment and patient-centered care that have defined Florida Hospital for more than a century. Best of all, it’s just a short trip from some of Florida’s most exciting attractions—and minutes from the Sunshine State’s premier beaches.

Qualifications

The RN Clinical Case Manager/Emergency Department and Outpatient Services demonstrates professional nursing knowledge and hospital care management services with the ability to perform the necessary primary role(s) of a cross-trained skill-set hospital case manager in listed area (s) of expertise, following hospital and case management policies and processes, to include, but not limited to:


•         Access Management/Utilization Review - Preadmission evaluation or screening


•         Hospital Outpatient Services


•         Hospital Care Management Services – Acute Care


•         Acute Care Discharge and Transitions


•         Multidisciplinary Care Team(s)


•         Emergency Department Case Management/Community-based Transition


•         Utilization Review, Resource Management: Concurrent Denial Prevention, Denials and Appeals Management  

KNOWLEDGE AND SKILLS REQUIRED:


•         Excellent written and oral communication skills required


•         Knowledge of InterQual, and or Milliman Care Guidelines (MCG), principles of Managed Care, Computer applications, including, but not limited to: Windows, Outlook, Excel, and Microsoft Word.


•         Critical/problem solving skills


•         Knowledge of governmental and other third regulations as it relates to compliance and or reimbursement principles

Education and Experience Required:


•       Current Florida RN license,


•       Graduate of an accredited School of Nursing or ASN


•        Minimum of 3-5 years as a Registered Nurse in an acute care hospital, required. On the Job training provided to registered nurse without emergency department case management experience.


•        Registered Nurse Case Manager with limited experience in a Hospital Clinical Case Management Program, to include emergency department case management, may participation in a high-level education, departmental training and preceptorship program.


•         Two (2) year(s) experience: utilization review, resource management, care coordination, discharge planning preferred


•         Case Management Certification preferred


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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