FortPierceRecruiter Since 2001
the smart solution for Fort Pierce jobs

RN Manager of Case Management

Company: Lawnwood Regional Medical Center
Location: Fort Pierce
Posted on: September 11, 2019

Job Description:

Description SHIFT: No Weekends

SCHEDULE: Full-time

Lawnwood Regional Medical Center
Fort Pierce, FL Facility Description: Lawnwood Regional Medical Center & Heart Institute is a 380-bed acute-care hospital offering a full range of services. Lawnwood is home to the most experienced Heart Institute on the Treasure Coast and offers diagnostic, interventional and therapeutic care, including open-heart surgery. Other hospital services include a 24/7 emergency department, pediatric emergency department, labor/delivery and birthing, pediatrics, orthopedics, oncology, nuclear medicine, diagnostic services, and a full range of inpatient and outpatient general surgical services. Lawnwood provides the area's only Level III Neonatal Intensive Care Unit, Level II Trauma Center, Pediatric Intensive Care Unit and Comprehensive Stroke Center. Lawnwood is accredited by The Joint Commission and designated as Certified Primary Stroke Center. Lawnwood's Physical Rehabilitation Center is CARF accredited and, for 11 years in a row, the hospital is a Five-Star Recipient for the Treatment of Heart Attack by Healthgrades. At Lawnwood Regional Medical Center & Heart Institute, patients come first - no matter what! Lawnwood Regional Medical Center is a member of the nation's leading provider of healthcare services, Hospital Corporation of America. HCA has been named one of Ethisphere's World's Most Ethical Companies for eight consecutive years. Join our tradition of excellence! Benefits: We offer a generous compensation package for Full-time and Part-time including: vacation, 401k, and Medical Insurance.
Job Description: The RN Manager of Case Management works with physicians and other members of the multidisciplinary team to develop a plan for each patient from admission to discharge. The tasks and responsibilities include:

  • Performs continuous assessments and evaluations to ensure patient is progressing towards desired outcomes.
  • Assesses and responds to patient/family needs by coordinating efforts of other team members.
  • Identifies and resolves barriers that hinder effective patient care.
  • Collaborates and consults with physicians on patient's progress and discharge planning needs.
  • Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity.
  • Manages the process to review and, as appropriate, appeal denials received from payors.
  • Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient.
  • Maintains knowledge of resources and facilities available to patients and family members.
  • Collaborates with personnel at other facilities to coordinate smooth and effective patient
  • Manages the process to review and, as appropriate, appeal denials received from payors.
  • Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient.
  • Maintains knowledge of resources and facilities available to patients and family members.
  • Collaborates with personnel at other facilities to coordinate smooth and effective patient transfers and transitions.
  • Compiles, evaluates, and reports statistics to members of the team and utilizes the information to facilitate process improvement activities.
  • Provides age and culturally appropriate care.
  • Orients and mentors new staff members.
  • Follows Standard Precautions using personal protective equipment as required.


  • Qualifications Position Qualifications:
    • Current FL RN Licensure or Compact License
    • Graduate of an accredited school of professional nursing. Bachelors of Science in Nursing preferred
    • CCM preferred
    • Minimum 5 years of clinical nursing experience
    • Knowledge of CMS guidelines and experience working with payor specific guidelines and contractual rules preferred
    • Customer service abilities including effective listening skills
    • Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines
    • Assertive and persuasive communication skills, action oriented

Keywords: Lawnwood Regional Medical Center, Fort Pierce , RN Manager of Case Management, Executive , Fort Pierce, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Assistant General Manager - Maria & Enzo's
Description: The Opportunity An elegant Italian trattoria set in a stylish airline terminal built in the 1930s. The restaurant features a stunning dining room with 50-foot ceilings and views of Lake Buena Vista as (more...)
Company: Delaware North
Location: Orlando
Posted on: 09/18/2019

Case Manager (RN)
Description: Position Purpose: Provide ongoing support and expertise through comprehensive assessment, planning and implementation of case management services for providers and their patients with chronic disease. (more...)
Company: Centene Corporation
Location: Longwood
Posted on: 09/18/2019

Care Manager II (RN)
Description: Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost (more...)
Company: Centene Corporation
Location: Longwood
Posted on: 09/18/2019


Care Manager II (RN)
Description: Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost (more...)
Company: Centene Corporation
Location: Longwood
Posted on: 09/18/2019

Sales Manager
Description: We are looking for a dynamic Sales Manager to help drive revenue at our three sister properties, Residence Inn by Marriott, Springhill Suites by Marriott, and Hilton Garden Inn, located in the busy Orlando (more...)
Company: Auro Hotels (Hilton)
Location: Orlando
Posted on: 09/18/2019

Care Manager II (RN)
Description: Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost (more...)
Company: Centene Corporation
Location: Orlando
Posted on: 09/18/2019

Care Manager II (RN)
Description: Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost (more...)
Company: Centene Corporation
Location: Orlando
Posted on: 09/18/2019

Chief Executive Officer
Description: Our client, Children's Home Society of Florida, has retained Newland Associates to conduct the search for their next Chief Executive Officer. OverviewFor more than a century, Children's Home Society of (more...)
Company: Newland Associates Executive Search
Location: Orlando
Posted on: 09/18/2019

Manager, Account Management (Pharmacy)
Description: Manager, Account Management Pharmacy Position Purpose: Provide oversight and strategic direction for Health Plan's clients. Develop capabilities and expertise of account managers. Reviews/manage contracts (more...)
Company: Centene
Location: Orlando
Posted on: 09/18/2019

Case Manager (RN)
Description: Position Purpose: Provide ongoing support and expertise through comprehensive assessment, planning and implementation of case management services for providers and their patients with chronic disease. (more...)
Company: Centene Corporation
Location: Ocoee
Posted on: 09/18/2019

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Fort Pierce RSS job feeds