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Registered Nurse (RN) Case Manager

Company: St. Lucie Medical Center
Location: Port Saint Lucie
Posted on: September 11, 2019

Job Description:

Description SHIFT: Days (rotating weekends)

SCHEDULE: Full-time

Registered Nurse, Case Manager Full-Time (1.0 FTE), Days
St. Lucie Medical Center
Port St. Lucie, FL Facility Description:
St. Lucie Medical Center is a 229-bed acute care facility accredited by The Joint Commission and designated a Top Performing Hospital. Since 1983, SLMC has continually provided quality care to the Treasure Coast community. The combined efforts of more than 350 skilled physicians and more than 800 dedicated employees have resulted in one of the most comprehensive healthcare facilities in Port St. Lucie. St. Lucie Medical Center offers a full range of services that include a birthing center, cardiac catheterization lab, cancer care, minimally-invasive techniques, digital mammography, general and vascular surgery and wound care and hyperbarics. It is a Certified Primary Stroke Center, accredited by the Society of Chest Pain Centers, Blue Distinction Maternity Care and Blue Distinction+ for Hip and Knee. Additionally, SLMC is home to the only Senior-Friendly ER and Orthopedic & Spine Institute. St. Lucie Medical Center is a member of the nation's leading provider of healthcare services, Hospital Corporation of America. Historically HCA has been named one of Ethisphere's World's Most Ethical Companies. Join our tradition of excellence! Benefits: We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO, medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, and employee stock purchase program. Position Description: The RN Case Manager works with physicians and other members of the multidisciplinary team to develop a plan for each patient from admission to discharge. The tasks and responsibilities include:

  • Performs continuous assessments and evaluations to ensure patient is progressing towards desired outcomes.
  • Assesses and responds to patient/family needs by coordinating efforts of other team members.
  • Identifies and resolves barriers that hinder effective patient care.
  • Collaborates and consults with physicians on patient's progress and discharge planning needs.
  • Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity.
  • Manages the process to review and, as appropriate, appeal denials received from payors.
  • Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient.
  • Maintains knowledge of resources and facilities available to patients and family members.
  • Collaborates with personnel at other facilities to coordinate smooth and effective patient transfers and transitions.
  • Compiles, evaluates, and reports statistics to members of the team and utilizes the information to facilitate process improvement activities.
  • Provides age and culturally appropriate care.
  • Orients and mentors new staff members.
  • Follows Standard Precautions using personal protective equipment as required. Qualifications
    • FL RN Licensure, or
    • Recognized Compact Licensure (subject to Florida State Licensing Requirements, including/not limited to ongoing eligibility and duration provision)
    • Graduate of an accredited school of professional nursing preferred
    • Bachelor's of Science in Nursing preferred
    • CCM preferred
    • Minimum 5 years of clinical nursing experience
    • Knowledge of CMS guidelines and experience working with payor specific guidelines and contractual rules preferred
    • Customer service abilities including effective listening skills
    • Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines
    • Assertive and persuasive communication skills, action oriented

Keywords: St. Lucie Medical Center, Port St. Lucie , Registered Nurse (RN) Case Manager, Executive , Port Saint Lucie, Florida

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