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Case Manager, RN
University of Miami. Coordinate the overall interdisciplinary plan of care for patients from admission to discharge .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating interdisciplinary care plans, evaluating patient needs, and facilitating discharge processes while ensuring compliance with medical advice and insurance policies. Strong ability to communicate effectively and maintain interpersonal relationships within a healthcare setting.
Highest-signal resume keywords
Registered Nurse Licensing (RN)Patient Care CoordinationDischarge PlanningInsurance Authorization FacilitationEffective Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Needs EvaluationCare Plan DevelopmentChart ReviewClinical Pathway ImprovementRisk Factor Identification
Soft Skills
Problem SolvingInterpersonal Relationship ManagementOrganizational SkillsTime ManagementEffective Communication
Certifications & Qualifications
Bachelor’s Degree
Industry Keywords
Quality Care PromotionRegulatory ComplianceInsurance Reimbursement PoliciesPatient EducationHealthcare Liaison
About the role
Key responsibilities & impact- Coordinate the overall interdisciplinary plan of care for patients from admission to discharge
- Monitor care and act as a liaison between patients/families, healthcare personnel, and insurers
- Evaluate patient needs and available resources and recommend and facilitate care plans
- Develop discharge plans using available resources to meet ongoing patient needs and encourage compliance with medical advice
- Identify patient care issues and suggest revisions to or new clinical pathways to improve quality of care
- Identify patients’ risk factors, obstacles to care, and discharge and readmission risk
- Evaluate plans of care through chart review and patient interviews
- Collaborate with the medical team to facilitate patients’ movement through the system
- Educate patients and families on the progression of care
- Promote quality care and medically appropriate services
- Facilitate ongoing insurance authorization for continued stay
- Facilitate regulatory notifications and patient signatures per policy
- Maintain knowledge of insurance reimbursement policies
- Plan and facilitate discharge and transition plans meeting patients’ physical, social, and emotional needs
- Adhere to University and unit-level policies and procedures and safeguard University assets
Requirements
What you’ll need- Bachelor’s Degree
- Registered Nurse Licensing (RN)
- Minimum 2 years of relevant experience
- Ability to communicate effectively in both oral and written form
- Ability to recognize, analyze, and solve a variety of problems
- Ability to analyze, organize and prioritize work under pressure while meeting deadlines
- Ability to maintain effective interpersonal relationships
Benefits
Comp & perks- Competitive salaries
- Medical insurance
- Dental insurance
- Tuition remission