Disease Management Case Manager jobs in Miami, FL

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Manager of Case Management today with HCA Florida Kendall Hospital.

Benefits

HCA Florida Kendall Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Come join our team as a(an) Manager of Case Management. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

The Manager for Case Management is responsible for promoting patient-centered care by coordinating all aspects of hospital-based case management for his/her assigned area of responsibility in alignment with the goals of the Case Management Department. This role is accountable for the overall day-to-day oversight and management of the case management program including coordination, supervision, and administrative oversight of the case management team. This role will function as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for the members of the case management team. Supervises and monitors professional and support staff and ensures that effective care coordination and case management practices are consistent with hospital policies, and applicable regulations and guidelines. Monitors quality of the interactions, documentation and assessments of the case management staff. The Manager for Case Management Services will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

• In-depth knowledge of case management, discharge planning, and utilization review practices and ability to incorporate current trends successfully.
• Knowledge and understanding of Medicare IPPS rules and regulations.
• Must have strong clinical, analytical, written, verbal and presentation skills
• Supervises and facilitates development of staff and oversees the day-to-day tasks/activities in the department.
• Ensures staff are competent in the use of InterQual to progress the plan of care.
• Works collaboratively and maintains active communication with physicians, nursing and other members of the interdisciplinary care team to effect timely, appropriate patient management.
• Monitors the quality of CM interactions with patients, families, physicians and the multidisciplinary team by regularly shadowing staff to ensure clear understanding and adherence to department processes.
• Monitors quality of documentation and assessments by regularly auditing the case managers’ documentation.
• Actively participates in clinical performance improvement activities.
• Communicates effectively with patients, family, medical staff, care team members, students, supervisors and outside contacts.
• Assumes responsibility of the department in the absence of the Director.
• Responsible for scheduling and staffing of department.
• Responsible for department education and competencies.
• Completes daily, weekly and monthly reports as assigned by the Director of Case Management.
• May be required to cover a staff assignment.
• Serve as an advocate for patient's rights, needs, and values; ensuring that patients’ ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned.
• Other duties as assigned.

What qualifications you will need:

• RN with current state licensure. BSN Bachelor’s preferred.
• Three years of clinical, hospital nursing experience required
• Three to five years previous case management experience required
• One to two years supervisory experience preferred
• Currently certified as InterQual CER or IQCI – preferred
• Case Management certification desirable

HCA Florida Kendall Hospital is located in west Miami-Dade County. Our acute care facility has 417-beds. Our services include trauma, burn, surgical, women’s and children’s services, behavioral health and diagnostic services. We have two full service free-standing ER facilities. HCA Florida Kendall Hospital has received the Distinguished Hospital Award for Overall Clinical Excellence from HealthGrades. This national recognition places us in the top 5% of hospitals for overall clinical quality. We are a Level I Adult and Pediatric Trauma Center certified by the Florida Department of Health. We are verified as a Level I Adult Trauma Center by the American College of Surgeons. The hospital is certified by the Joint Commission as a Thrombectomy-Capable Stroke Center. We are one of five American Burn Association's verified Burn Centers in the state. With six ACGME accredited Graduate Medical Education programs, we strive to be a leading community-based research hospital. Join our team at HCA Florida Kendall Hospital and experience a dynamic career. One that rewards clinical professionals for their commitment, provides growth opportunities. We encourage you to enjoy a healthy lifestyle outside of work in a diverse and friendly community.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

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"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Manager of Case Management opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.