
Case Manager, RN
Posted 4 days ago

Posted 4 days ago
This is a fully remote position, open to applicants in Florida.
• Oversee the comprehensive interdisciplinary care plan for patients from the time of admission until discharge.
• Monitor patient care and serve as a liaison among patients/families, healthcare providers, and insurance companies.
• Assess patient requirements and available resources.
• Propose and implement strategies for optimal patient outcomes.
• Create discharge plans utilizing available resources while encouraging adherence to medical recommendations.
• Identify issues related to patient care and recommend modifications or new clinical pathways to enhance quality of care.
• Recognize patient risk factors, barriers to care, and potential discharge/readmission risks.
• Review care plans through chart assessments and patient interviews.
• Collaborate with the healthcare team to facilitate patient transitions within the system.
• Educate patients and families regarding the care process.
• Advocate for quality care and ensure services, status, and duration of stay align with standards.
• Manage ongoing insurance authorizations for continued patient stays.
• Handle regulatory notifications and obtain patient signatures in accordance with policy.
• Stay informed about insurance reimbursement policies.
• Plan and implement discharge and transition strategies that address patients’ physical, social, and emotional needs.
• Comply with University and unit-level policies and procedures while protecting University assets.
• Bachelor’s Degree.
• Registered Nurse License (RN).
• At least 2 years of pertinent experience.
• Strong oral and written communication skills.
• Capacity to identify, analyze, and resolve a variety of issues.
• Ability to organize, analyze, and prioritize tasks effectively under pressure to meet deadlines.
• Proven ability to maintain productive interpersonal relationships.
• Competitive salary packages.
• Medical insurance coverage.
• Dental insurance options.
• Tuition remission benefits.
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