Job Summary:
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources of all patients reviewed. Maintains confidential communication with physicians and multi-disciplinary personnel to meet individual needs or the patients served. Functions as an independent contributor as well as a team member.
Position Qualification:
Possess three or more years of acute care hospital experience preferred.
Familiar with the operations of the healthcare industry and healthcare delivery systems.
Able to use the medical record in order to obtain clinical information to perform Interqual reviews.
Utilize Outlook, and the computer-based systems (AllScripts) to perform reviews.
Work experience in Medical-Surgical, Telemetry, Critical Care, and/or Pediatrics, NICU preferred.
Required Licenses/Certifications:
Current Florida RN Licensure BLS Certification.
Must possess a solid clinical background to accomplish extensive Medical Record review.
Computer skills preferred
What Should I Know About Hialeah Hospital?
Our 378-bed acute care hospital opened in 1951 to serve the Hialeah, Florida community. Our team is committed to honoring the trust that our patients place in us by providing compassionate, safe, high-quality care in the right place, and at the right time.
Cardiac
American Heart Association Get with the Guidelines - Heart Failure Gold Plus Award, 2018
American Heart Association Get with the Guidelines - Target Stroke Gold Plus Award, 2018
Bariatric
American College of Surgeons/American Society for Metabolic and Bariatric Surgery - MBSAQIP Accredited Center
BCBS â€" Blue Distinction Specialty Care Bariatric Surgery, January 2018
Neurology
Advanced Primary Stroke Center Re-accreditation, April 2018
Women's Services
American College of Radiology granted Stereotactic Breast Biopsy Re-accreditation, March 2016
Hyperbaric Unit
Healogics Center of Distinction Award, 2017
Laboratory Services/Blood Bank
Certificate of Accreditation from College of American Pathologist
#J-18808-LjbffrRegistered Nurse (RN) Case Manager, Full Time, Day Shifts in fl at Unknown Company
- Typical pay
- $71,760–$115,000
For context, most registered nurses earn between $71,760–$115,000 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and onsite.