Emergency Management Director

Emergency Management Director

Jacksonville, FL

Manager - RN Case Management

Jacksonville, Florida Jobs

32210 Jobs

Emergency Management Directors Jobs

$75,336 - $92,077

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Why Mayo Clinic
Mayo Clinic is the nation's best hospital (U.S. News & World Report, 2020-2021) and ranked #1 in more specialties than any other care provider. We have a vast array of opportunities ranging from Nursing, Clinical, to Finance, IT, Administrative, Research and Support Services to name a few. Across all locations, you’ll find career opportunities that support diversity, equity and inclusion. At Mayo Clinic, we invest in you with opportunities for growth and development and our benefits and compensation package are highly competitive. We invite you to be a part of our team where you’ll discover a culture of teamwork, professionalism, mutual respect, and most importantly, a life-changing career!

Mayo Clinic offers a variety of employee benefits. For additional information please visit Mayo Clinic Benefits. Eligibility may vary.

Position description
The RN Manager, Care Management provides leadership, direction, and resource management for case managers and social workers in the inpatient and ambulatory settings. The RN Manager effectively resolves utilization review and denial management issues, provides leadership in resolving psychosocial issues, and removes barriers and complexities for case managers and social workers to effectively facilitate safe discharge planning. The RN Manager collaborates internally and externally to maximize patient flow and mitigate reimbursement issues. Collaborates internally with pre-certification staff, admitting and billing office personnel, contracting staff, house supervisors, risk management, physicians, and specialty departments that impact needs during the inpatient stay and through the provision of an effective, safe discharge. External collaboration includes but is not limited to health plans, providers, and vendors that impact needs during the inpatient stay and through an effective, safe discharge. This individual has a strong working knowledge of Medicare/Medicaid, regulatory compliance mandates, auditing agencies, national coverage determinations (NCDs) and local coverage determinations (LCDs). Possesses knowledge of various payer sources, benefits, and limitations
and understands and applies utilization management standards from the patient's point of entry through discharge. The RN Manager assists in developing and creates ownership for the department's vision and planning, fostering teamwork and an open creative environment for staff. The RN Manager coordinates, implements, and evaluates staff development and manages staff performance proactively and decisively. The RN Manager supports staff leadership activities, including community involvement and participation in committees and research. This individual must demonstrate knowledge of the principles of growth and development of the life span and appropriately interpret information relative to the patient's specific needs.

The RN Manager, Care Management supports leadership amongst the staff through support of activities that include staff development, community involvement, and participation in committees and research. The American Nurses Association (ANA) Nursing Scope and
Standards of Practice, the ANA Code of Ethics for Nurses, and the Commission for Case
Manager Guideline provide the basis for practice.

EDUCATION : Graduate of an accredited baccalaureate nursing program, masters preferred.

EXPERIENCE : Experience with utilization review, including admission and discharge criteria and discharge planning preferred. Knowledge of Centers for Medicare and Medicaid Services (CMS), Medicare, Medicaid, HMO and Department of Children and Families, community resources, discharge planning, extended care and rehab facilities and durable medical equipment. Minimum of two years of clinical acute care case management experience.

Additional qualifications
COMPETENCY: Promotes quality in day-to-day case management by monitoring, evaluating, planning coverage for identified case management needs. Facilitates case management program, including policy/procedure revision and development, staff recruitment and retention. Coordinate performance improvement activities of case management staff. Conducts/facilitates orientation and development of new and existing case management staff.
JOB KNOWLEDGE: Knowledge of clinical pathways, resource management, community resources, interviewing techniques, medical terminology, good written and verbal communication skills, leadership skills.
ADDL CONSIDERATIONS: Well developed communication and organizational skills required, with the ability to problem solve and facilitate change effectively.

License or certification
Current RN Licensure from Florida.
ACM or CCM certification preferred

Exemption status

Compensation Detail
Education, experience and tenure may be considered along with internal equity when job offers are extended.

Benefits eligible

Full Time

Hours / Pay period

Schedule details
Monday through Friday. Has 24 hour department accountability.

Weekend schedule
On call duty every other weekend.

International Assignment

Site description
Jacksonville is the largest city in area in the continental United States. A beautiful coastal Florida city that features excellent year-round climate, over 20 miles of beaches and outstanding outdoor recreational, cultural and family-oriented amenities. The “River City by the Sea” has an excellent school system, reasonable cost of living and a thriving business environment. Medical professionals and patients are drawn to Jacksonville by an extraordinary network of high-profile healthcare facilities. Jacksonville continues to grow as more people relocate from all over the U.S. and abroad, to see what the great River City has to offer!

Laura Rasmussen

As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.

Job ID: 6888909531395788939

This job is located in

Jacksonville, Florida, 32210

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