RN Case Manager
Jacksonville, FL
HumanEdge Travel Healthcare
5x8 hrs, Days

Job Opportunity: Case Manager

Job Title

Case Manager

Contract Length

13 weeks

Job Description

• Promote patient and employee safety with a focus on safe patient handling, materials handling, infectious diseases, slips/trips and falls, and work environment safety.
• Identify patient problems affecting their ability to participate in treatment plans.
• Assist patients and families in utilizing hospital resources and participating in decision-making for care plans and safe discharge planning.
• Collaborate with interdisciplinary teams, including physicians, to manage clinical plans of care and facilitate safe, timely discharges.
• Refer patients and families to outside agencies for social issues unrelated to healthcare as required.
• Maintain communication with supervisors regarding major patient condition changes and emergencies.
• Complete accurate and timely documentation, data collection, and statistical reporting.
• Participate in team meetings and contribute to facility-wide needs and operational improvements.
• Ensure medical necessity reviews and utilization reviews are completed according to guidelines.
• Address barriers to patient care and discharge planning.
• Maintain payor/referral satisfaction by meeting insurance certification and documentation requirements.
• Keep an up-to-date community resource system to assist patients and families.
• Collaborate with clinical teams to avoid unnecessary appointments, tests, and procedures.
• Manage fiscal responsibilities related to billing and reimbursement.
• Perform outlier management and attend relevant meetings.
• Document plans of care and progress notes in compliance with policies and regulations.
• Perform other duties as assigned.

Required Qualifications

• Current licensure as a Registered Nurse (RN) appropriate for the Case Manager role.
• Associate’s Degree in a healthcare field required; Bachelor’s Degree preferred.
• Minimum 2 years of experience in Case Management and Discharge Planning within a Rehabilitation Care setting.
• Working knowledge of the insurance industry and government reimbursement processes.

Additional Notes

• No explicit requirement for prior travel experience mentioned.