Registered Nurse; RN) Case Manager Day Shifts

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.

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.

Current Florida RN Licensure BLS Certification.

Must possess a solid clinical background to accomplish extensive Medical Record review.

Computer skills preferred

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.

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

American College of Surgeons/American Society for Metabolic and Bariatric Surgery - MBSAQIP Accredited Center

BCBS â€" Blue Distinction Specialty Care Bariatric Surgery, January 2018

Advanced Primary Stroke Center Re-accreditation, April 2018

American College of Radiology granted Stereotactic Breast Biopsy Re-accreditation, March 2016

Healogics Center of Distinction Award, 2017

Certificate of Accreditation from College of American Pathologist