RN/Registered Nurse - Case Management

Under the general direction of the Director and Lead/Supervisor Case Management RN, the Case Management (CM) RN is responsible for coordinating all aspects of discharge planning for admitted patients, in collaboration with the interdisciplinary care team, promoting patient and family centered care, with defined methods of screening, assessing, ongoing monitoring, and interventions that advance the progression of care. The CM RN will work to improve outcomes as measured by coordinating care to the appropriately timed discharge, reduce readmission rates, and improve patient/family satisfaction. Using the Standards for Case Management as a framework, will incorporate ethical and legal tenets into the essential job functions.
Benefits:

Paid Time Off:


Six paid holidays annually and one day of paid volunteer time off.
Paid Parental Leave:


Six weeks of paid leave for new parents at 100% pay.
Tuition Reimbursement:


Up to $5,250 for approved courses.
Retirement Savings Plan:


403(b) plan with immediate participation and matching contributions; 457(b) program for highly compensated associates.
Insurance:


Basic Life and AD&D Insurance equal to one time annual salary, up to $500,000.
Disability Coverage:


Short- and long-term disability coverage at 60% of salary for non-work-related disabilities.
Position Responsibilities

Assessing new patients by gathering information, reviewing diagnoses, and analyzing medical test results for anticipation of discharge needs
Complete and document an initial discharge planning assessment on all inpatients upon admission, in collaboration with the Social Worker, verifying demographics and insurance
Process home health orders and case management referrals for post-acute care plans timely, including but not limited to, home health services, durable medical equipment, home infusion therapies, appointment scheduling and transfers to other facilities/level of care
Communicate with care team and ensure a discharge plan is confirmed, with an expected discharge date, and monitor the ongoing progression of the plan and report any resource limitations that could impact the plan
Educates providers and clinical staff on the resources available for a safe discharge, including managing provider expectations
Attend and actively participate in discharge planning rounds, weekly complex case reviews, and care conferences
Coordinate with home care coordinator and social worker any discharge planning arrangement needs, transportation needs, letters of medical necessity, and regulatory requirement forms
Participate in medication discussions and ensure patient can obtain prescriptions, assisting with obtaining resources, if appropriate
Communicate directly with the patient and family about the discharge plan and verify understanding/agreement of the plan prior to discharge
Communicate and collaborate with Utilization Management regarding patient status, changes in plan of care, and risk for denials
Identifies high risk patients through the initial admission assessment and creates a collaborative plan to address their unique needs
Refer self-pay patients, patients with non-par/out-of-network insurance, potential medically complex patients, or financial questions to the Financial Counselors
Position Requirements

ASN required, BSN preferred
Active Florida or multi-state RN license, required
Professional certification in case management, certified managed care nurse, or area of clinical specialty, preferred.
Minimum of 3 years nursing experience required, related clinical experience preferred
American Heart Association BLS required

About Us
As one of the nation's premier pediatric health care systems, we've made a promise to do whatever it takes to prevent and treat even the most disabling childhood conditions. It's a promise that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention.
Equity, diversity, and inclusion guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build a diverse and inclusive environment. All Nemours Associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.
Nemours aspires to have its workforce and providers reflect the rich diversity of the communities we serve. Candidates of diverse backgrounds, race and ethnicity, religion, age, gender, sexual orientation, and those committed to working with diverse populations and conversant in multicultural values are strongly encouraged to apply. Please click here to review Nemours Anti-Racism Statement (nemours.org).
To learn more about Nemours and our commitment to treat every child as if they were our own, visit .
About the Team
At Nemours, Nursing is more than just a department, it is a philosophy embodied by every Nursing Associate - that we are shared guardians of children's health and joy. Our nurses have a gift for caring for children and the needs of their families.
Our nurses support an environment of opportunity for personal growth and professional development, teaching each other, and our patients and families important aspects of care.
Throughout Nemours, in our hospitals, specialty care clinics, and in outpatient and inpatient settings, our nurses use their expertise and knowledge to translate research into evidence-based practice, continuously improving the safety and quality of our family-centered care.