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Location:

Pembroke Pines, Florida We have an outstanding reputation for providing patient- and family-centered care that exceeds all expectations. Together, we have created an award-winning, nationally-recognized system where every effort is focused on delivering exceptional care throughout our communities. Career opportunities exist on diverse teams across our many facilities where you can search open positions and apply online to join #teamMHSflorida. Learn more below.

Summary:

The RN Case Manager coordinates the care and service of patient populations from admission through discharge. The RN Case Manager, collaboratively with inter-disciplinary teams, works to build a comprehensive case management plan through effective care coordination and utilization of healthcare resources to achieve desired clinical and financial goals. Key responsibilities are to partner with the healthcare team to ensure all aspects of the patient's needs, clinical, psychosocial, and financial are adequately addressed in the transition of the care plan and to manage the patient's timely progression of care and safe transition to the next most appropriate level of care.

Responsibilities:

Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payers regarding care.

Makes appropriate referrals to Social Workers and identifies appropriate hospice candidates and communicates with a physician regarding options.

Consults with Physicians' and multidisciplinary teams regularly to evaluate the patient's status and appropriateness of medical care, including admission, length of stay, transfer, and discharge.

May collect and assesses data to identify quality trends or actual sources of risk to patients and employees. Collaborates with multidisciplinary team and committees concerning quality outcomes.

Performs ongoing chart review to identify actual or potential issues, which may include service delivery, patient outcomes, and satisfaction, compliance, cost, and reimbursement.

Participates in discharge planning, including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients. AI Translation Assistant Opens in new window