Case Manager Registered Nurse - Full Time
University of Miami

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.

This position functions as a RN Case Manager for the Case Management Department under the direction of the Director of Case Management. RN Case Manager will incorporate the fundamental principles of utilization management, monitoring resource consumption, social services intervention and individual discharge planning that will include assuring the transfer or discharge of a patient to another level of care, treatment, services or different setting is always based on the patient's assessed needs and the organizations capabilities to meet these needs.Facilitates delivery of clinical and community services to patients and families through effective utilization of available resources. Manage the observation patients on their assigned unit, conduct InterQual® reviews for admission and continued stay per policy, report avoidable days and facilitate clinical reviews to third party payors. Ensures the appropriateness and cost effectiveness of patient's plan of care. Report all complex cases to the Director and/ or Manager of Care Coordination as often as necessary. Proactively collaborate with physician(s) to develop patient care plans and review for medical necessity for continued hospital services and resource consumption.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:Full timeEmployee Type:StaffPay Grade:U13

---