Care Management Supervisor RN

Team Member Services; Stati Uniti; In loco; USD 71.000 - 133.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

PTO from Day One

Parental Leave

Retirement Plan 403(b)

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Descrizione del lavoro

AdventHealth seeks a Registered Nurse to supervise discharge planning and social services across inpatient, observation, and ED, acting as the primary liaison for Care Management barriers. You will implement corporate Care Management strategies, participate in multidisciplinary rounds, and guide complex transitions while ensuring accurate documentation and regulatory compliance.

The role involves coordinating with hospital teams, leading staff development, and using data to drive improvements in

Competenze

• Knowledge of medical necessity for appropriate patient status and level of care.
• Knowledge of IMM, MOON, Advanced Directives, Multidisciplinary Rounds, Social Services, Value Based Programs, and other Care Management compliance guidelines.
• Ability to lead others effectively while maintaining appropriate compliance.
• Knowledge of Centers for Medicare & Medicaid Services (CMS) Conditions of Participation for discharge planning.
• Ability to manage multiple tasks and prioritize level of importance.
• Critical thinking skills.
• Customer service skills.
• Ability to implement process improvement processes.
• Experience with PC applications and development of reports.
• Ability to negotiate optimal resolution of issues.

Mansioni

• Supervises discharge planning and social services in inpatient, observation, and emergency department, serving as the primary point of contact for Care Management barriers.
• Implements corporate Care Management strategies in collaboration with facility management.
• Actively participates in multidisciplinary rounds, ensuring active staff participation and effective discharge planning and barrier resolutions.
• Provides discharge planning and progression of care expertise to the interdisciplinary team.
• Leverages reports and dashboards to monitor the accuracy of care manager team's documentation and compliance with regulations.
• Facilitates care conferences for complex transitions and placements as needed.
• Participates in hospital and medical staff meetings to review patients with high cost, extended length of stay, or difficult placement.
• Reports pertinent quality and risk issues to appropriate individuals, departments, and committees in a timely manner.
• Addresses patient, staff, physician, and department complaints and follows up with timely communications and escalations.
• Participates in hiring, onboarding, educating, evaluating, and mentoring staff.

Conoscenze

Medical necessity

Care management

CMS guidelines

Leadership

Data reports

Critical thinking

Customer service

Process improvement

Multidisciplinary rounds

Communication

Formazione

Associate's of Nursing

Bachelor's of Nursing

Strumenti

Reporting software

PC applications

Descrizione del lavoro

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-Weekend (United States of America)

Address: 1055 SAXON BLVD

City: ORANGE CITY

State: Florida

Postal Code: 32763

Job Description:

• Supervises daily operations of discharge planning and social services in the inpatient, observation, and emergency department, serving as the primary point of contact for inpatient unit Care Management barriers and concerns.
• Implements corporate Care Management strategies in collaboration with facility management.
• Actively participates in multidisciplinary rounds, ensuring active staff participation and effective discharge planning and barrier resolutions.
• Provides discharge planning and progression of care expertise to the interdisciplinary team.
• Leverages reports and dashboards to monitor the accuracy of care manager team's documentation and compliance with regulations.
• Facilitates care conferences for complex transitions and placements as needed.
• Participates in hospital and medical staff meetings to review patients with high dollar, extended length of stay, or difficult placement.
• Reports pertinent quality and risk issues to appropriate individuals, departments, and committees in a timely manner.
• Addresses patient, staff, physician, and department complaints and follows up with timely communications and escalations.
• Participates in hiring, onboarding, educating, evaluating, and mentoring staff.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Knowledge of medical necessity for appropriate patient status and level of care [Required]
• Knowledge of IMM, MOON, Advanced Directives, Multidisciplinary Rounds, Social Services, Value Based Programs, and other Care Management compliance guidelines [Required]
• Ability to lead others effectively while maintaining appropriate compliance [Required]
• Knowledge of Centers for Medicare & Medicaid Services (CMS) Conditions of Participation for discharge planning [Required]
• Ability to manage multiple tasks and prioritize level of importance [Required]
• Critical thinking skills [Required]
• Customer service skills [Required]
• Ability to implement process improvement processes [Required]
• Experience with PC applications and development of reports [Required]
• Ability to negotiate optimal resolution of issues [Required]
• Ability to manage multiple tasks and prioritize level of importance [Required]
• Ability to engage in complex clinical decision-making [Preferred]
• Strong professional verbal and electronic communication [Preferred]
• Ability to analyze, evaluate, and monitor data [Preferred]
• Ability to foster positive Interdisciplinary Team relations and encourage employee engagement [Preferred]
• Ability to work independently and/or as part of a team [Preferred]

Education:

• Associate's of Nursing [Required]
• Bachelor's of Nursing [Preferred]

Work Experience:

• 1+ experience in direct care management [Required]
• 2+ front line nursing experience [Required]

Licenses and Certifications:

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

Physical Requirements:

Physical Requirements: (Please click the link below to view work requirements)

Physical Requirements - https://tinyurl.com/msy4mja2

Pay Range:

$71,385.60 - $132,787.20

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.