RN Case Manager - Case Management

Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. We are a career destination with over 6,000 colleagues who reflect the diversity of our community. TMH is the region's healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the region's only : Level II Trauma Center Primary Stroke Center Level III Neonatal Intensive Care Pediatric Intensive Care The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle. Our system also includes a psychiatric hospital, multiple specialty care centers, six residency programs and more than 50 affiliated physician practices. Qualifications Required Education : Associate degree in nursing. Preferred Education : Bachelor’s degree in nursing. Required Experience : One (1) year of relevant work experience. Preferred Experience : Two (2) or more years of relevant work experience Required Certification / License / Registry : Florida RN license. Preferred Certification / License / Registry Minimal Data Set (MDS) certification or ability to obtain certification within one (1) year of employment. Responsibilities Your Role : Performs Minimum Data Set (MDS), case management, utilization review, quality assurance (QA), and discharge planning duties. Conducts federally mandated patient assessments based on Centers for Medicare and Medicaid Services (CMS) guidelines, including appropriate care planning, interdisciplinary communication, and Agency for Health Care Administration (AHCA) documentation preparation. Promotes wellness. Is responsible for collecting integral data and compiling / transmitting data to CMS. Determine patients’ needs based upon illness, diagnosis, prognosis, and social support systems. Contacts appropriate agencies to coordinate patient discharges into the community or long-term care settings. Ensures facility compliance with applicable state and federal regulation. Collaborates with other members of the healthcare team. Reports To : Administrator, Rehabilitation Center (JC : 013501) [with delegation (as needed) to RN / Director, Rehabilitation (JC : 030101)] Supervises : None