RN Case Manager

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.

Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Education:

Graduate of an accredited school of professional nursing, BSN preferred

Experience / Qualifications
RN
- Current RN licensure in the state of Florida. BLS Certification American Heart Association for Healthcare Providers
3 years acute health care nursing experience. Excellent interpersonal skills with patients, case management staff, physicians, insurance providers, transportation services, and peers.
Critical thinking skills, Decisive judgment
Ability to work with deadlines and multiple tasks. Knowledge of Inter Qual or Milliman admission criteria. Knowledge of Federal and State regulations.

Position Summary
The RN Case Manager functions as the leader of the interdisciplinary team.
The RN Case Manager interacts via phone and face to face with the physicians, nurses, discharge planners, insurance providers and others to ensure the patient receives the appropriate and necessary treatment in the correct admission status.
Assesses plans, coordinates, and evaluates the needs and services of the patient.
Coordinates and completes utilization review activities to ensure compliance with State, Federal and other payor requirements. Participates in performance improvement initiatives related to the management of patient care as appropriate. Performs other duties as assigned.

Team Member Competencies
Establishing Relationships

Builds effective networks, working relationships, and alliances in order to collaborate effectively within department and organization. Can relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others.

Peer Support
Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.
Inspiring and Motivating Others
Fosters commitment and cohesiveness by facilitating cooperation and working as a team within the organization toward goal accomplishments. Work well with others, build consensus, and ensure cooperation to complete tasks and positive workflow.
Demonstrating Emotional Intelligence
Exercises self-leadership, self-awareness, and self-regulation; manages emotions so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills.

Acting with Integrity
Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations. Acts in a way that is consistent with personal and organizational values by keeping confidence, promises, and commitments. Clearly states goals and beliefs; informs people of their true intentions, does what they say they will do; follows through on commitments.

Being a Champion for Change and Innovation
Supports people in their efforts to try new things. Things creatively, generates novel and valuable ideas and uses these ideas to develop new or improved processes. Accepts new ways of doing things and adapts to change.

Communicating Effectively
Speaks and writes clearly, conveys information in a concise, organized, and logical manner. Is adept at tailoring the message to fit the interests and needs of the audience. Listens attentively and exercises tact, discretion, and diplomacy when interacting with members of the department and organization.

Promoting Diversity and Inclusion
Treats all people with dignity and respect. Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics. Challenge's bias and…