Case Manager

Transfer Access Registered Nurse RN Case Manager

The Transfer Access Registered Nurse RN Case Manager provides clinical expertise, medical communication and quality assessment for the timely facilitation and coordination of all direct admits, blood transfusions and chemotherapy across the Health First Integrated Delivery Network (IDN). The Transfer RN Case Manager will facilitate and coordinate patients transferring in or out of Health First in accordance with state and federal regulations to prevent EMTALA violations. The Transfer Access RN Case Manager employs critical thinking skills to expedite admissions and transfers, demonstrating Health First mission, vision, values and standards in all interactions with referring facilities, physicians, employees and customers.

Primary Accountabilities:

1. Coordinates direct admits, blood transfusions and chemotherapy across the IDN
2. Manages transportation (ground and air) for transfers across the IDN
3. Organizes transfers between Health First facilities and other health care systems
4. Completes electronic or written orders for transfusions, direct admits and transfers
5. Creates accounts/bed requests for all direct admits, transfusions and transfers
6. Uses complex acuity algorithms for time-sensitive emergent medical events (Trauma, STEMI, Clot Alert or Code Rupture), triaging, processing transfer requests, identifying the appropriate receiving campus, and conferencing physicians for specialist acceptance
7. Identifies appropriate levels of care for placement and safe transport via ground or air
8. Assists with surgical scheduling
9. Utilizes knowledge and understanding to triage critical and non-critical patient, effectively communicating clinical updates to physicians
10. Monitors and assists with bed availability and placement, effectively communicating with PFAs, nursing staff and other health care systems
11. Harnesses conference calls effectively with admitting, sending, referring and specialty providers or APRNs
12. Maintains accurate and thorough documentation of transfers, transfer phone calls, transports and acuities, gathers and analyzes information from current and past medical records

Work Experience:

• Education: Associates degree in Nursing (ASN), or Nursing Diploma.
• Work Experience: Three (3) years if clinical experience.
• Licensure: Registered Nurse (RN) licensure in the State of Florida or endorsement.
• Certification: None
• Skills/Knowledge/Abilities:

1. Demonstrated leadership skills
2. Strong analytical, data management and computer skills
3. Excellent interpersonal and negotiation skills
4. Ability to communicate effectively with customers of varied levels of understanding
5. Current working knowledge of care transitions; transfer and receipt of medical records
6. Understanding of pre and post-acute care venues and post-acute community resources
7. Ability to prioritize multiple tasks and demands
8. Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients and families
9. Excellent customer service skills with ability to promote safe and cost-efficient improvements
10. Excellent writing and presentation skills.

Preferred Qualifications:

• Education: Bachelors degree in Nursing (BSN).
• Work Experience: Previous experience in Case Management.
• Certification: Case Manager Certification (CCM or ACM).
• Skills/Knowledge/Abilities: Knowledge of utilization management, and managed care reimbursement.

Physical Requirements:

• Majority of time involves sitting or standing; occasional walking, bending, and stooping.
• Long periods of computer time or at workstation.
• Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
• May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise.
• Communicating with others to exchange information.
• Visual acuity and hand-eye coordination to perform tasks.
• Workspace may vary from open to confined.
• May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.

Benefits:

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.