Care Management Director Registered Nurse

AdventHealth; Florida; On-site; USD 95,000 - 177,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

PTO from Day One

403-B Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in New Smyrna Beach, FL is seeking a senior care management leader to oversee recruitment, retention, and daily operations of the Care Management department. You will drive discharge planning, care coordination, and social services while ensuring CMS CoPs compliance across the organization.

Collaborating with interdisciplinary leaders, you will lead change management, monitor metrics, manage budgets, and mentor staff to improve patient outcomes and staff engagement.

Qualifications

• Bachelor's in Nursing required.
• Master's in Nursing preferred.
• 5+ direct care management experience required.
• 3+ care management leadership experience required.
• 2+ frontline nursing experience required.
• RN required; ACM/CCM preferred.

Responsibilities

• Oversees recruitment and retention activities to ensure adequate staff and leadership in care management.
• Engages with post-acute care entities to improve patient care transitions and reduce readmissions.
• Leads technology change management to improve staff efficiencies and patient outcomes.
• Directs daily operations of care management, including discharge planning, coordination, progression of care, and social services.
• Ensures CMS CoPs for Discharge Planning compliance and participates in corporate care management meetings.
• Develops and implements care management policies, budgets, and standard operating procedures.

Skills

Care management

Leadership

Data analysis

CMS knowledge

Communication

Education

Bachelor's in Nursing

Master's in Nursing

Tools

Microsoft Office

Job description

Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits

Schedule: Full time Shift: Day (United States of America) Address: 401 PALMETTO ST City: NEW SMYRNA BEACH State: Florida Postal Code: 32168

Job Description: Senior leadership position with 7 day a week accountability. Bulk of work is M-F Oversees the departments recruitment and retention activities, taking action to ensure adequate staff and leadership in care management. Actively engages with post-acute care entities to improve patient care transitions and decrease readmissions. Leverages and leads technology change management to improve staff efficiencies, drive positive patient outcomes, and maximize the tools care managers utilize to perform their roles. Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services. Ensures compliance with CMS CoPs for Discharge Planning as well as related federal and state regulations. Responsible to participate in Corporate Care Management meetings, cascade information, and implement strategies with standard work and processes. Develops and oversees the implementation and compliance with Care Management policies and standard operating procedures. Collaborates with interdisciplinary hospital leaders and executives to achieve organizational goals. Develops and meets operational budget performance with oversight to assure capital and fiscal accountability. Partners with Utilization Management for the Utilization Review Committee as well as day-to-day operations. Identifies improvement opportunities and develops, implements, and monitors action plans. Educates and mentors facility Care Management staff and the interdisciplinary teams on data, outcomes, and opportunities. Performs other duties as assigned

Knowledge, Skills, and Abilities:

• Understanding of medical necessity for appropriate patient status and level of care
• Understanding of Care Management best practices
• Ability to research and reason best practices to support process improvement
• Strong verbal and electronic communication skills
• Ability to analyze, evaluate and monitor data in addition to provide action plans
• Supports positive employee relations and customer experience
• Understanding of Microsoft Office Products and other appropriate software platforms
• Understanding of CMS Conditions of Participation for Discharge Planning
• Understanding of Managed Care and Value Based Programs
• Ability to work autonomously with self-direction
• Ability to work as a collaborative partner of a diverse leadership team
• Ability to lead and sustain change
• Knowledge of change management principles, methodologies, and tools [Required]
• Sustained goals of Care Management metrics, voice of the customer experience, employee engagement, and quality outcome viability of a Care Management program [Preferred]

Education:

• Bachelor's in Nursing [Required]
• Master's in Nursing [Preferred]

Work Experience:

• 5+ direct care management experience [Required]
• 3+ care management leadership experience [Required]
• 2+ frontline nursing experience [Required]

Licenses and Certifications:

• Registered Nurse (RN) [Required]
• Accredited Case Manager (ACM) [Preferred]
• Certified Case Manager (CCM) [Preferred]

Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/msy4mja2

Pay Range: $95,014.40 - $176,758.40

Background Screening Requirement (Florida Law) Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.