HCA Florida JFK North Hospital Job - 43700053 | CareerArc
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Company: HCA Florida JFK North Hospital
Location: West Palm Beach, FL
Career Level: Mid-Senior Level
Industries: Healthcare, Pharmaceutical, Biotech

Description

Description

RN Case Manager PRN Case Management Department PRN, Varied Shift, 0.001 FTE JFK Medical Center North Campus West Palm Beach, FL   Facility Description: HCA Florida JFK North Hospital, A part of HCA Florida JFK Hospital, the largest provider of healthcare in the state, offering patients an extensive network of personalized care.  Located in the heart of West Palm Beach, HCA Florida JFK North Hospital is a 280-bed acute care facility with an adjoining 124-bed behavioral health unit.   For more than 46 years, HCA Florida JFK North Hospital has been serving the healthcare needs of Palm Beach County.  Our specialty trained and compassionate staff utilize leading-edge technology to offer patients superior outcomes, less pain and improved recovery times. Services include; 24-hour Emergency Department, Advanced Primary Certified Stroke Center, Orthopedic Institute, Critical Care Unit, Interventional Vascular Suite, Inpatient Diabetes Care, State-of-the-Art Diagnostic Imaging, Outpatient Rehabilitation Services, Center for Pain Care and a full spectrum of surgical services. In addition, JFK North Campus offers a full continuum of prevention, treatment and support to address mental health and wellness for children, adolescents, adults and seniors.   With more than 600 colleagues and 900 medical staff, we are dedicated to our mission; Above all else, we are committed to the care and improvement of human life.   Benefits: We are committed to providing our employees with the support they need. At HCA Florida JFK North Hospital, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:
  • Student Loan Repayment*
  • Tuition Reimbursement/Assistance Programs*
  • Paid Personal Leave
  • 401k (100% annual match – 3% to 9% of pay based on years of service)
  • Identity Theft Protection discounts
  • Auto, Home, and Life Insurance options
  • Adoption Assistance
  • Employee Stock Purchase Program (ESPP)*
*If applicable, please refer to the CBA or the local HR office to confirm if this benefit applies to your position.   Job Description: The RN CM Under supervision, performs the functions relating to utilization management, resource management and discharge planning process.  Plans, initiates and evaluates a patient centered discharge plan as defined by the patient's needs.  Utilizes an interdisciplinary approach, maintains patient advocacy and ensures access to service.   Responsibilities:
  • Applies admission/discharge criteria within established timeframes.
  • Contacts the attending physician in cases not meeting criteria for admission or continued stay in a timely manner.
  • Demonstrates knowledge of Medicare and Medicaid, hospital-initiated denials and initiates process according to department procedures.
  • Documents information in a manner which facilitates concurrent review and provides up-to-date information to others.
  • Assesses and re-assesses patient for continuum of care needs in accordance with department policy and procedure.
  • Performs initial discharge plan evaluation per department protocol.
  • Assures that arrangements for discharge are complete when the patient is medically ready for discharge to prevent unnecessary delays.
  • Considers the medical, emotional, psychosocial (i.e. age appropriate, family supports and condition of home environment) and financial needs of the patient in development of discharge plan.
  • Promotes an interdisciplinary approach to discharge planning through active involvement in the patient care conferences and collaborates with the interdisciplinary team to develop a plan specific to meet the needs of the patient.
  • Discusses reimbursement issues with patient/family regarding DME delivery and transportation.
  • Orders equipment in a timely manner to prevent delay in discharge.
  • Schedules transportation with safety of the patient in mind.
  • Assists in determining eligibility of social, medical, financial and offer services to meet the patient's needs.
  • Provides the patient or family with information appropriate to making an informed decision.
  • Ensures that notes in the progress notes are clear, concise, timely and in accordance with regulatory guidelines.
  • Completes initial clinical review screen in Meditech and documents discharge needs.
  • Directs referrals to various agencies and support groups based on need.

  • RN with current state licensure; BSN preferred
  • Graduate from an accredited school of nursing required
  • 1-3 yrs. nursing experience in an acute care setting (i.e. med surg, tele, ICU)
  • Certification in case management or utilization review preferred
  • Knowledge of InterQual criteria, Medicare, Medicaid Guidelines, Managed Care


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