Job Description

Per Diem, Days

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including:

1. Care Coordination by driving progression of care, appropriate use of resources, and patient safety through readmission prevention while simultaneously considering patient choice and goals of care;

2. Education provided to physicians, patients, families, and caregivers.

3. Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy;

The individual’s responsibilities include the following activities:

(a) care coordination,

(b) transition-planning assessment and reassessment,

(c) implementation or oversight of implementation of the transition plan,

(d) communicating with patients, families and the healthcare team regarding the plan of care,

(e) leading and facilitating unit TEMPO (Team Engagement to Manage Patient Outcome),

(f) leading and facilitating multi-disciplinary patient care conferences,

(g) active participation and knowledge sharing in Complex Case Review,

(h) identifying and escalating complex patients to CM leadership and physician advisor,

(i) collaboration with the healthcare team including physicians, office staff, ancillary departments, payors, and post-acute facilities,

(j) assuring patient/family education is completed to support post-acute needs,

(k) timely, complete and concise documentation in the Case Management system,

(l) maintenance of accurate patient demographic and insurance information,

(m) identification and documentation of potentially avoidable days,

(n) identification and reporting over and underutilization,

(o) and other duties as assigned.

License

Required qualifications include an active Registered Nurse license with at least two years acute hospital patient care experience.

Certification

BSN and certification as Accredited Case Manager (ACM) or equivalent and acute hospital case management experience preferred.

Current BLS certification.

Others

Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast paced environment; critical thinking, problem solving skills and computer literacy.



Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Palm Beach Gardens Medical Center hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At Palm Beach Gardens Medical Center, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note Eligibility for benefits may vary by location and is determined by employment status