Clinical Resource Supervisor RN, Case Management, Full Time, Days
- Miami, FL
- Permanent
- Full-time
- Leads the assessment, planning, implementation and evaluation for new department models/initiatives.
- Identifies practices issues, systems issues and trends utilizing medical criteria, clinical data systems and protocols.
- Performs problem resolution activities to maintain quality patient care.
- Presents at administrative meetings.
- Case Management and Social Work metrics and productivity to include but not limited to: length of stay (LOS), case mix index (CMI), discharge barriers, resource utilization, discharge planning and level of care.
- Management oversight of patient throughput: assessment and evaluation to determine appropriate level of care and appropriate admission status (inpatient, observation, outpatient procedure), beginning with point of entry continuing through discharge.
- Follow up in the outpatient setting for patients enrolled in the CRM Placement EDP program.
- In the event that Manager for Clinical Resource Management is not available, visit facilities to evaluate and determine patient appropriateness in the current level of care as needed.
- Work in collaboration with Manager for Clinical Resources Management to transition CRM Placement EDP program patients to the appropriate level of care as needed.
- Management oversight of the Clinical Care Coordinator's performance regarding the level of care along the continuum (e.g. effectiveness of medication, treatments, pain status, discharge plans) and individualizing the plan of care including their role in re-enforcing teachings and discharge planning.
- Maintain leadership visibility, supporting service excellence initiatives and focusing on improved employee satisfaction.
- Rounding on patient units to identify barriers to staff performance and discharge barriers.
- Create and implement Corrective Action Plans (CAP) for problem resolution and escalation of issues/problems preventing efficient performance.
- Coordinates day to day CRM operations for designated areas including program development/implementation/outcomes, staffing, liaison with PROS / MCOS / regulatory/community agencies, revenue cycle department, length of stay initiatives, Physician Adviser activities and evidenced based practices.
- Provides management oversight for referral and problem resolution of complicate discharges.
- May provide management oversight for referral and problem resolution of complex discharges.
- Collaborates with family, Attending physician, Chief Utilization Officer, Utilization Management Committee, and Discharge services providers for a safe discharge plan.
- Concurrent review of employee schedules for appropriate staffing coverage based on patient census.
- Collaboration with the Chief Utilization Officer related to the Utilization Management Committee, case consultation activities, negotiation of patient placement at appropriate level of care and evaluation of patient's medical plan of care.
- Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
- Performs all other related job duties as assigned.
- Valid Florida RN license is required.
- American Heart Association Basic Life Support (BLS) and any additional applicable life support certification for Healthcare Providers is required upon hire with at least 6 months validity and maintenance at JHS for the duration of employment.
- Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licensures, as required by regulatory and/or nursing standard of practice for the specialty.