Case Management RN Supervisor, Case Management

Case Management RN Supervisor

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Jackson Memorial Hospital - Clinical Resource Mgmt Administration (Case Management)
1611 NW 12 Ave., Miami, FL 33136
Shift: Full Time, Days 8:00 am - 4:30 pm (Tuesday - Saturday)

Jackson Memorial Hospital is the flagship hospital for Jackson Health System and has been a beacon of medical excellence and community care for more than a century. It is a world‑class academic medical centre with 1,500 licensed beds and a mission to provide exceptional patient care.

The Clinical Resource Coordinator is a professional member of the healthcare team who has 24‑hour/7‑day accountability for the coordination, monitoring and management of patient care resources to promote cost‑effective delivery of patient care services at the appropriate level while maintaining a standard of quality patient care for all patient populations.

• Leads the assessment, planning, implementation and evaluation for new department models/initiatives.
• Identifies practice issues, system issues and trends utilizing medical criteria, clinical data systems and protocols.
• Performs problem resolution activities to maintain quality patient care.
• Presents at administrative meetings.
• Manages case‑management and social‑work metrics and productivity (LOS, CMI, discharge barriers, resource utilization, discharge planning and level of care).
• Oversees patient throughput and determines appropriate level of care and admission status from point of entry through discharge.
• Follows up in the outpatient setting for patients enrolled in the CRM Placement EDP program.
• Works with the Clinical Resource Management manager to transition CRM Placement EDP program patients to the appropriate level of care.
• Maintains leadership visibility and supports service excellence initiatives focused on employee satisfaction.
• Rounds on patient units to identify barriers to staff performance and discharge barriers.
• Creates and implements corrective action plans (CAP) for problem resolution and escalation of issues preventing efficient performance.
• Coordinates day‑to‑day CRM operations for designated areas including program development, outcomes, staffing, liaison with PROS/MCOS/regulatory agencies, revenue cycle, length of stay initiatives, physician adviser activities and evidence‑based practices.
• Provides oversight for referral and complex discharge resolution.
• Collaborates with family, attending physician, chief utilization officer, utilization management committee, and discharge services providers for a safe discharge plan.
• Collaborates with the chief utilization officer related to utilization management committee, case consultation activities, negotiation of patient placement at appropriate level of care and evaluation of patient plan of care.
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• Performs all other related job duties as assigned.

Generally requires 3 to 5 years of related experience.

• 3 to 5 years acute‑care hospital case management experience preferred.
• Previous supervisor experience preferred.

BSN or Bachelor's degree in related field is required. Master's degree in nursing is preferred.

• Valid Florida RN license is required.
• Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licenses, as required by regulatory and/or nursing standard of practice for the specialty.

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.