RN Case Manager-Utilization Review - fulltime-days
The Manager provides proactive planning and development of tools and programs that optimizes quality of care, clinical outcomes, utilization, cost, and patient satisfaction. The Manager participates in evaluating opportunities to optimize utilization and reimbursement across populations of patients to meet organizational strategic objectives and reduce denials.
The Manager works directly with Case Managers and Director to ensure concurrent reviews are timely and discharge plan development in place and fosters collaborative communication with the Medical Staff regarding seamless progress toward discharge. Ensures that all polices are being followed.
POSITION QUALIFICATIONS (including required licenses/certifications, education and job knowledge/experience):
Current Florida RN License
3-5 years clinical, case management & discharge planning experience in an acute care facility
Bachelor’s degree in nursing or health-related field preferred
Effective verbal and written communication skills
Your role is to be an effective leader by coaching and developing your staff, collaborating, building teams, solving problems, taking initiative, analyzing, planning, managing change, accepting responsibility, setting and reviewing objectives, exercising control, making decisions, motivating others, supporting employee initiative, and building trust and commitment.