Float Case Manager – LPN/RN Orlando
Candidates
for this position must meet the following requirements:
REQUIREMENTS:
¨
LPN/RN
license in the State of
¨
Ability
to perform case management
¨
Knowledge
and skill in the applications of the techniques and practices of the nursing
profession
¨
Ability
to explain medical instructions to patients and their families
¨
Ability
to learn and understand appropriate Federal, State, and local regulations
¨
Ability
to interact and deal tactfully with the public
¨
Ability
to read, write, speak and understand the English language fluently
¨
Ability
to communicate effectively, establish and maintain an effective working
relationship with patients and staff and deal effectively and professionally
under pressure
¨
Ability
to travel locally
¨
Must have consistent, punctual and reliable attendance
¨
Bilingual Spanish/English
RESPONSIBILITIES:
Monitor inpatient, outpatient, and SNF patients and initiate
patient care arrangements. Report findings to Medical Management, Medical Director and Center
Administrator. Responsible for patient care management to assure
appropriate care is provided; reinforce patient education regarding
preventative care, dietary restrictions, medications and other therapeutic
regimens; coordinate home health and DME requests and provide recommendations
to the Center Medical Director. Provide
oversight in patient care evaluation, coordinate the collaboration of the
Primary Care Provider and Consultants, and make suggestions to improve plans to
meet patient needs. Assist with the
monitoring of utilization management and make recommendations regarding
effectiveness of health care resources, trending and intervention. Assist in the assessment of clinic operations
and make recommendations as necessary.
Assure compliance with HCFA guidelines and covered service
guidelines. Assist with the contestation
of Part A and Part B /claims as needed.
Consistently apply guidelines to the medical record review process. Evaluate and recommend health delivery
network changes with the site Medical Director and Center Administrator. Participate in QI projects. Attend Case Management Meetings. Participate in patient satisfaction program
as required and follow up on all inpatient/outpatient discharges. Assist the Center Medical Director with the
management of high-risk patient populations and appropriate case management
plans. Other duties as
assigned.