Lead RN Case Manager job opportunity at Cleveland Clinic.

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Cleveland Clinic Lead RN Case Manager
Experience: General
Pattern: full-time
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loacation Martin Health North, United States Of America
loacation Martin Health ..........United States Of America

                     At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.                          We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.                                      Job Title Lead RN Case Manager                          Location Stuart                      Facility Martin Health North                       Department CRP Case Management-Cleveland Clinic Martin Health                        Job Code 000253                       Shift Days + Call                         Schedule 8:00am-4:30pm                         Job Summary                           Job Details Join   the Cleveland Clinic Florida team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world .       The Lead RN Case Manager acts as the key information and education resource for the interdisciplinary team and works to develop organization-wide approaches to problem solving.   Using your effective communication and interpersonal skills, you   will help to prepare a plan of care that is patient specific and coordinate with post-acute providers to ensure continuity of care after discharge.   This is a very hands-on team who feel valued in the work they do each day knowing that they have a direct impact on the patient.   A caregiver in this position works days from 8:00AM – 4:30PM, with on-call   and rotating weekend and holiday   requirements.   A caregiver who excels in this role will:    Promote the achievement of   optimal   clinical and resource outcomes.   Facilitate pre-certification and payer authorization processes.   Facilitate the collaborative management of patient care across the continuum, proactively   identify   and effectively address barriers for   identified   patient populations.   Identify ,   develop   and apply process improvement methodologies in evaluating and improving outcomes of care.   Act as the expert involved in the clinical documentation efforts and serving as a clinical resource for coders and staff ensuring that documentation accurately reflects severity of illness and intensity of service.   Be   u tilized   as a sought-out expert with physician relations and communications.   Support and act as a role model for the compliance of team members ensuring regulatory requirements are met.   Work with leadership to align goals and visions.     Minimum qualifications for the ideal future caregiver include:    Registered Nurse   and a   Bachelor’s of Science   in Nursing ( BSN )   OR  Bachelor's   in Healthcare   fiel d   Current and valid license to practice as a Registered Nurse (RN) in Florida   Case Manager Certification (CCM)   required   within one year of eligibility   Six years of experience in Care Management,   Utilization   Review   or Discharge Planning in a Healthcare setting   Excellent interpersonal communication and negotiation skills   Demonstrated leadership skills   Strong analytical, data   management   and PC skills   Current working knowledge of discharge planning,   utilization   management, Care Management, performance   improvement   and managed care reimbursement   Understanding of   pre-acute and post-acute venues of care and post-acute community resources   Strong organizational and time management skills   Can work independently and exercise sound judgment in interactions with physicians,   payors and   patients and their familie s     Preferred qualifications for the ideal future caregiver include:    M aster’s   of Science in Nursing (MSN)   or   Master's in Healthcare   related field   Physical Requirements: Requires direct patient care. Requires extensive walking, telephone use, bending, reaching, and lifting items weighing twenty pounds or less. Must be able to work well under pressure and maintain professional demeanor under adverse conditions. Extensive reading, writing, use of pagers, fax machines, computers, and copiers. Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: active or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required.                         The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.  If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster .                     Cleveland Clinic is pleased to be an equal employment opportunity employer.

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