Manager - RN - Case Management - FT - Days - MRH

Location

Hollywood, Florida

At Memorial, we are dedicated to improving the health, well-being and, most of
all, quality of life for the people entrusted to our care. An unwavering
commitment to our service vision is what makes the difference. It is the
foundation of The Memorial Experience.

Summary

Assumes 24-hour accountability for managing the functions of Access, Care
Coordination, and Discharge Planning. With the Manager - Social Work, serves as
the central resource to the Director - Case Management to develop strategies
which are efficient, effective, timely, patient-centered, and support
appropriate financial reimbursement. To meet accountabilities of the Care
Management Dashboard, collaborates with all disciplines, departments, payers,
system partners, vendors, and community agencies to optimize clinical outcomes
within best practice, ethical, legal, and regulatory parameters.

Responsibilities

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. 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. 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 management and
evaluation of department operations, including information technologies, service
level determination and complaint management, to achieve performance and quality
control objectives. 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. Manages
and constantly evaluates staffing levels, assignments, skills, learning needs,
and deployment of staff. 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.

Competencies

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

Education and Certification Requirements

• State of Florida (FL)

Additional Job Information

Complexity of Work: Responsible for day-to-day oversight and coordination of
case management and discharge planning functions ensuring patient care meets
quality and efficiency standards while aligning with regulatory requirements.
This role requires an understanding of payer guidelines and working closely with
multi-disciplinary teams to optimize patient flow. Requires critical thinking
and effective communication (verbal and written) skills, decisive judgment, and
the ability to work with minimal supervision. Must be able to work in a
stressful environment and take appropriate action. Knowledge of State and
Federal regulations governing discharge planning conditions of participation,
hospital information systems (e. g., logician and IDX), staff development
techniques, and performance improvements processes. Strong background in
clinical decision making, medical criteria, and discharge planning. Must be
proficient with Interqual or Milliman guidelines and use. Proficient in process
improvement, and performance monitoring. Required Work Experience: Minimum of
three (3) years of case management experience and, at least, two (2) years of
leadership experience within case management. Other Information: Additional
Education Info: Graduate of an accredited Registered/Professional Nursing
program or a Bachelor’s degree in Nursing (BSN). Additional Certification Info:
Certification in Case Management preferred.

Working Conditions and Physical Requirements

*  Bending and Stooping = 0%
*  Climbing = 0%
*  Keyboard Entry = 80%
*  Kneeling = 0%
*  Lifting/Carrying Patients 35 Pounds or Greater = 40%
*  Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
*  Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
*  Lifting or Carrying > 75 lbs Non-Patient = 0%
*  Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
*  Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
*  Pushing or Pulling > 75 lbs Non-Patient = 0%
*  Reaching = 60%
*  Repetitive Movement Foot/Leg = 0%
*  Repetitive Movement Hand/Arm = 80%
*  Running = 0%
*  Sitting = 80%
*  Squatting = 0%
*  Standing = 80%
*  Walking = 80%
*  Audible Speech = 80%
*  Hearing Acuity = 80%
*  Smelling Acuity = 0%
*  Taste Discrimination = 0%
*  Depth Perception = 80%
*  Distinguish Color = 80%
*  Seeing - Far = 60%
*  Seeing - Near = 80%
*  Bio hazardous Waste = 60%
*  Biological Hazards - Respiratory = 60%
*  Biological Hazards - Skin or Ingestion = 60%
*  Blood and/or Bodily Fluids = 60%
*  Communicable Diseases and/or Pathogens = 60%
*  Asbestos = 0%
*  Cytotoxic Chemicals = 0%
*  Dust = 60%
*  Gas/Vapors/Fumes = 60%
*  Hazardous Chemicals = 60%
*  Hazardous Medication = 40%
*  Latex = 60%
*  Computer Monitor = 80%
*  Domestic Animals = 60%
*  Extreme Heat/Cold = 40%
*  Fire Risk = 0%
*  Hazardous Noise = 0%
*  Heating Devices = 0%
*  Hypoxia = 0%
*  Laser/High Intensity Lights = 0%
*  Magnetic Fields = 0%
*  Moving Mechanical Parts = 0%
*  Needles/Sharp Objects = 60%
*  Potential Electric Shock = 0%
*  Potential for Physical Assault = 60%
*  Radiation = 0%
*  Sudden Decompression During Flights = 0%
*  Unprotected Heights = 0%
*  Wet or Slippery Surfaces = 60%

Shift

Primarily for office workers - not eligible for shift differential

Disclaimer: This job description is not intended, nor should it be construed to
be an exhaustive list of all responsibilities, skills, efforts or working
conditions associated with the job. It is intended to indicate the general
nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to
any employer. We encourage candidates to talk to their Memorial Healthcare
System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer
committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for
employment opportunities without regard to race, color, age, religion, gender,
sexual orientation, national origin, veteran status, disability, genetic
information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and
military spouses (including widows and widowers). You must indicate your status
on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug
testing.

If you need reasonable accommodation during the application process, please call
954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net
[TalentAcquisitionCenter@mhs.net]