Baptist Health South Florida is the region's largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.

Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians. Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.

This year, and for 24 years, we've been named one of Fortune's 100 Best Companies to Work For, based on employee feedback. We've also been recognized as one of America's Most Innovative Companies and People Magazine included us in 50 Companies That Care. Based on the U.S. News & World Report 2023-2024 Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.

But really, the reason we're excited to come to work is the people.

Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs. We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it's like to be in their shoes. Many of us have been patients here and have had family members as patients here. We're committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes. When it comes to caring for people, we're all in.

Boca Raton Regional Hospital is an advanced tertiary medical center with 400 beds and is a recognized leader in Cardiovascular Care, Oncology, Women's Health, Orthopedics, Emergency Medicine and the Neurosciences, all of which offer state-of-the-art diagnostic and imaging capabilities.

Description:

Oversees the daily operations and is responsible for the planning, development, and implementation of the utilization, case management and social work functions in accordance with departmental policies. Responsible to ensure delivery of high quality patient care with an appropriate length of stay, excellent resource utilization, and reimbursement for services rendered. Facilitates the safe movement of the patient through the acute phase of their stay while ensuring appropriate utilization of post-acute services. Serves as a resource to the hospital for utilization and social work issues through consultation.

Qualifications:

Degrees: Bachelors Licenses & Certifications: Registered Nurse Additional Qualifications: Bachelors degree in Nursing - BSN. Minimum of 3 years supervisor management experience in a medical setting. Prior experience in case management or utilization management required,certification required or obtained within 1 year. Knowledge of reimbursement principles, discharge planning process, TJC standards, infection control principles, InterQual and Milliman criteria. Advanced written, verbal and interpersonal skills. Assertive and diplomatic communication, team building problem resolution, and negotiation skills. Must be able to deal sensitively with coworkers, medical staff and community representatives. Computer experience in Microsoft Office (Word, Excel). Excellent organizational skills including effective time management, collaboration, priority setting and process improvement. Demonstrates leadership ability, initiative, professionalism and integrity. Estimated pay range for this position is $92,480.02 - $120,224.03/Salary depending on experience.

EOE