Manager, Case Management

University of Miami

Not specified; not specified; comprehensive benefi...
Valid florida rn license required
Interqual and eq health review expertise
Managed care plan negotiation skills
The Case Manager acts as a patient advocate and care coordinator to enhance the quality of patient management and satisfaction

Job Summary

  • The Case Manager acts as a patient advocate and care coordinator to enhance the quality of patient management and satisfaction.
  • This role requires applying review criteria to determine medical necessity and managing the observation patient process alongside bed assignment.
  • The University of Miami offers competitive salaries and comprehensive benefits including tuition remission for this full-time staff position.

Matching Summary

The Case Manager acts as a patient advocate and care coordinator to enhance the quality of patient management and satisfaction.

Salary

Not specified; Not specified; Comprehensive benefits package including medical, dental, and tuition remission

Skills & Requirements

Must-have

  • Valid Florida RN license required
  • InterQual and EQ Health review expertise
  • Managed Care plan negotiation skills
  • Complex patient case management experience
  • Utilization management committee participation

Nice-to-have

  • Experience with physician advisor reviews
  • Strong interdisciplinary collaboration abilities
  • Proactive trend analysis for readmissions
  • Effective communication with legal representatives
  • Adaptability to changing healthcare priorities

Key Requirements

  • Bachelor's degree in relevant field
  • Minimum five years in Hospital Case/Care Management or nursing
  • One year of management experience
  • Valid State of Florida RN license
  • Knowledge of JCAHO Standards and Risk Management

Work Rights

Not specified

Tailored Resume

Cover Letter