Job Description

Case Manager (RN)

Case Manager (RN) needed in Gainesville, FL.

Titan Placement Group invited you to explore an opportunity in Gainesville, Fl. Enjoy world-class museums, performing arts, and live music. Explore 8 state parks with more than 100 miles of trails for biking, birding, and hiking or cool off in crystal-blue freshwater springs. When you’re done with your day, kick back at a craft brewery and savor innovative cuisine and specialty cocktails at inspired local restaurants.

This position is with a progressive, financially stable Hospital System.

Salary and Benefits

• Hourly Rate- $32 - $41.14 midpoint 10 years of experience $45.25 max
• Evening differential is $2.00, and Weekends are $2.00
• Sign-on Bonus – $15,000
• Relocation Assistance
• Health Benefits
• Dental and Vision Insurance
• Life Insurance
• Long Term/ Short Term Disability
• Health Savings Account
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Paid Time Off

Responsibilities

• Conducts initial and ongoing assessment of each patient with respect to clinical condition, level of care, and plan of care.
• Reviews admission, pre-op orders for all components necessary for preadmission, and admission process.
• Assist the physician offices in obtaining necessary assessments prior to surgery, procedures, and/or admission.
• Include patients and family in care facilitation and education activities.
• Assist in the development and implementation of critical pathways.
• Utilizes computer support and physician advisor to determine potential outliers (length of stay and changes in condition) in continued hospital stay.
• Communicates the benefits and changes in the various benefit plans, both in terms of health management and financial implications to physicians, and patients and families as appropriate.
• Assists in management of payor denials; issues hospital-initiated notices of non-coverage (HINNs)
• Distinguish between the levels of care available and interact with the various benefit plans and their delivery systems to coordinate this care across the continuum.
• Defines desired clinical outcomes, sets target dates, and establishes a plan for required services and care, addressing all needs (i.e., physical, psycho-social, financial).
• Participates in IDT rounds,
• Conducts utilization review, evaluates clinical information, and communicates findings to physicians and payors on a timely basis by the NFRMC Utilization Review Plan and managed care contractual agreements.
• Submits clinical information to insurance companies to ensure all days are authorized and notifies director of continued stay denials.
• Applies decision support criteria (e.g., Interqual) appropriately.
• Maintains accurate, up-to-date documentation in MIDAS.
• Is cross-trained to function in any of the assigned Case Manager areas.
• Promotes close alignment with medical and ancillary staff to facilitate appropriate patient care delivery, including alternative levels of care opportunities.
• Completes required documentation for transfer to the next level of care. Coordinates with physician for optimal information related throughout the continuum.
• Assists with patient/family/significant other’s learning needs, abilities, and readiness to learn. Identifies barriers to learning, such as language or culture. Integrates this information into the patient’s plan of care.
• Identifies and documents patient/family/SO’s education needs in collaboration with other disciplines and implements an ongoing education relevant to these needs.
• Documents patient teaching on appropriate teaching tool for each teaching episode.
• Ensures patient/family/SO understand discharge instructions

Requirements:

• Looking for Recent (within the last year) experienced acute care Case Manager experience
• Will also consider someone that has case management experience in an LTAC facility
• Must have good critical thinking skills. They need to know and understand the medical needs for patients
• Certification in Case Management, Nursing, or Utilization Review is preferred
• Florida RN license and/or approved multistate RN license required. Compact license holders have 60 days to obtain a Florida license after relocation.
• BLS-AHA provider-issued card required within 30 days of start years of RN experience in an acute care setting is required
• Graduate of an accredited school of nursing as an RN. BSN preferred.

About US

Titan Placement Group is a permanent placement healthcare recruiting firm that is bridging the gap between healthcare companies and high-quality candidates. We do that by utilizing our core values of communication, collaboration, and accountability. Titan Placement Group is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female candidates to apply.

If interested, please apply, or email your resume to [email protected]

We can always be reached by phone at (941) 269-1000

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