Clinical Case Manager II (RN)

Clinical Case Manager

The Clinical Case Manager (CCM) is a dynamic role that utilizes professional nursing skills to assess patient and family situations while considering clinical appropriateness for the acute or an alternate setting and establishing plans for effective management of the continuum of care (episodic and population-based) by performing assessments, plans, interventions, and reassessments in a collaborative manner. CCM works closely with Medical Staff, Psychosocial Case Managers, Nursing, Allied Health disciplines, hospital business/financial services, agencies across the continuum (internal and external) and payers. The key goals of the CCM includes proactive, individualized planning for patients' progress across the continuum that optimizes quality of care, utilization, cost and patient experience. The CCM also leads activities directed toward improving appropriate utilization across populations of patients to meet holistic care planning goals and organizational strategic objectives, as well as, developing initiatives within the department or to impact management of patient populations within and across the continuum.

Required Qualifications:

• Require a minimum of three (3) years of case management or utilization review experience in a hospital setting.
• Effective 09/10/21, require a minimum of three (3) years of related clinical practice in an acute care setting.
• Require a Bachelor of Science in Nursing (BSN) degree from an accredited school of nursing.
• Require previous experience with hospital information systems (order entry, results reporting, case management).
• Require proficient experience using PC/computer (word processing a minimum).

Preferred Qualifications:

• Prefer active Case Management Certification (CCM or ACM-RN) or within one (1) year of hire and membership in relevant CM organization.
• Prefer demonstrated ability to manage multiple tasks and adjust priorities according to patient needs and department/hospital needs.
• Prefer solid clinical assessment, critical thinking, decision making and organizational skills.
• Prefer strong ability to communicate effectively both verbally and in written work.
• Prefer strong interpersonal skills and ability to work collaboratively with leaders, staff, patients, families, healthcare team, payers and external agencies.

Required License and Certs:

FL RN: FL Registered Nurse License