RN Case Management Observation

Company: Genesis10
Location: Gainesville
Posted on: May 10, 2025

Job Description:

Genesis10 is currently seeking an RN Case Management Observation with our client in the healthcare industry located in Gainesville, FL. This is a full time position.

You can get further details about the nature of this opening, and what is expected from applicants, by reading the below.

Responsibilities: Progress the care for Observation patient and ensure progression of care by reviewing the case promptly and applying IP IQ criteria
Adhere to HCA standards regarding observation management
Adhere to the 2 Midnight Process
Work closely with the physician by monitoring the case and keeping the physician abreast of findings so appropriate and timely decisions can be made to admit or discharge the patient
Directly intervene to remove barriers
Escalate situations to the facility Director of Case Management who will advise on next steps (e.g., contact CMO, CNO, PA)
Identify observation patients with discharge planning needs that could lead to poor outcomes or a return to the hospital
Refer to the inpatient RN CM/Social Worker, who will complete a discharge planning evaluation and/or a psychosocial assessment and assume the transition of care
Coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization
Provide case management services for both inpatient and observation patients as assigned
Identify patients who are at risk for adverse outcomes during the transition from one level of care/setting to another
Perform a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family
Reassess the patient's clinical condition as indicated
Consider patient's readmission status or risk of readmission and develop strategies to mitigate, including education on appropriately accessing healthcare resources, preventative education, and community-based resources
Coordinate the plan of care and drive the discharge plan by collaborating with the multidisciplinary health care team and with the patient's physician to facilitate a successful care transition
Partner with Social Services to ensure the post-acute medical needs and level of care are appropriate
Assume responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified
Involve patient and family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals
Evaluate progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalate progression and transition of care issues through the established chain of command
Make appropriate referrals to third party payer and disease and case management programs for recurring patients and patients with chronic disease states
Facilitate patient throughput with an ongoing focus on an effective care transition, quality, and efficiency
Document professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
Align patient needs with available resources to ensure a safe discharge/transition
Act as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies
Seek ways to control costs without compromising patient safety, quality of care, or the services delivered
Function in a manner to promote quality patient care and assure a positive patient experience
Direct activities to identify and provide for the needs of the under-resourced patient population, including patient education activities, patient assistance programs, and community-based resources
Participate in performance improvement activities, including identifying, documenting, and intervening when avoidable days occur
Adhere to established policy and procedure and standards of care; escalate issues promptly through the established chain of command
Demonstrate knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
Serve as an advocate for patient's rights, needs, and values; ensures that patients' ethnic, cultural, or religious values, beliefs, preferences, and needs are considered and aligned
Practice and adhere to the "Code of Conduct" and "Mission and Value Statement"


Requirements: Looking for 1+ years of Case Management Interqual experience
Florida RN license and/or approved multistate RN license
Compact license holders have 60 days to obtain the Florida license after relocation
BLS-AHA Provider issued card required within 30 days of start
Associate degree in Nursing
InterQual experience


Desired skills: Bachelor's degree in Nursing
Strong Utilization experience


Only candidates available and ready to work directly as Genesis10 employees will be considered for this position.

If you have the described qualifications and are interested in this exciting opportunity, please apply!

About Genesis10:
Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals.

For contract roles, Genesis10 offers the benefits listed below. If this is a perm-placement opportunity, our recruiter can talk you through the unique benefits offered for that particular client. Benefits of Working with Genesis10: --- Access to hundreds of clients, most who have been working with Genesis10 for 5-20+ years.
--- The opportunity to have a career-home in Genesis10; many of our consultants have been working exclusively with Genesis10 for years.
--- Access to an experienced, caring recruiting team (more than 7 years of experience, on average.)
--- Behavioral Health Platform
--- Medical, Dental, Vision
--- Health Savings Account
--- Voluntary Hospital Indemnity (Critical Illness & Accident)
--- Voluntary Term Life Insurance
--- 401K
--- Sick Pay (for applicable states/municipalities)
--- Commuter Benefits (Dallas, NYC, SF and Illinois)

For multiple years running, Genesis10 has been recognized as a Top Staffing Firm in the U.S., as a Best Company for Work-Life Balance, as a Best Company for Career Growth, for Diversity, and for Leadership, amongst others. To learn more and to view all our available career opportunities, please visit us at our website.

Genesis10 is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

#INDGEN10

Keywords: Genesis10, Orlando , RN Case Management Observation, Executive , Gainesville, Florida