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Community Health Systems

Care Manager RN

key west, FL

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Job description

Behavioral Health Care Manager RN

Position Type: Full Time Days

Benefits:

Health Insurance (Medical, Dental, Vision)

401(k) with matching

Student Loan Repayment: Up to $20,000

Educational Assistance

Paid Time Off

Competitive salary and comprehensive benefits package.

Job Summary

The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Essential Functions

Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.

Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.

Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.

Refs cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.

Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.

Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.

Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.

Provides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.

Performs other duties as assigned.

Maintains regular and reliable attendance.

Complies with all policies and standards.

Qualifications

Associate Degree in Nursing required

Bachelor's Degree in Nursing preferred

2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required

2-4 years of care management experience preferred

Knowledge, Skills and Abilities

Strong understanding of case management principles, discharge planning, and transitions of care.

Knowledge of federal, state, and Joint Commission standards related to case management.

Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.

Ability to assess complex situations, identify solutions, and implement care plans efficiently.

Proficiency in electronic medical records (EMR) and documentation systems.

Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure state licensure in state of employment or Compact state licensure required

Accredited Case Manager (ACM) preferred

CCM - Certified Case Manager preferred

BLS - Basic Life Support preferred

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Worksite address

key west, FL, 33045, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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