RN Case Manager MHP

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.

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.

• Participates in clinical performance improvement activities, including the development of clinical paths, patient/family education programs, collaborative practice groups, Six Sigma, and other quality initiatives.
• Assists with the development and implementation of Case Management goals, plans, and standards consistent with the clinical, administrative, regulatory, legal, and ethical requirements.
• Assists with the preparation and evaluation of departmental budgets, and ensures that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits.
• Monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives. Completes annual and interim performance reviews for all staff and contributes to performance reviews of other professionals and support staff as requested.
• Manages and constantly evaluates staffing levels, assignments, skills, learning needs, and deployment of staff.
• Assists with the management and evaluation of department operations, including information technologies, service level determination and complaint management, to achieve performance and quality control objectives.
• May collect and assess data to identify quality trends or actual sources of risk to patients and employees. Collaborates with multi-disciplinary teams and committees with respect to quality outcomes.

• ACCOUNTABILITY
• CUSTOMER SERVICE
• EFFECTIVE COMMUNICATION
• HEALTHCARE REGULATORY ENVIRONMENT
• LEADING BY COACHING
• LEADING CHANGE INITIATIVES
• MANAGING PEOPLE
• PATIENT AND FAMILY CENTERED CARE
• RESPONDING TO CHANGE
• STANDARDS OF BEHAVIOR

Accredited Program:
Nursing (Required)
Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)

Complexity of Work:
This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Must be able to provide education and resources relevant to the effective progression of care, utilization of services, appropriate level of care, and safe patient transition to the patient/family and health care team.

Minimum one (1) year of experience in a hospital-based Case Management practice or five (5) years in Healthcare.

Graduate of an accredited Registered/Professional Nursing…