Care Manager Registered Nurse PRN

adventhealth; Tarpon Springs (FL); On-site; USD 4,822,000 - 7,996,000; Full time

Benefits offered by this job

Day One Benefits

PTO from Day One

403(b) Retirement Plan

Parental Leave 4 Weeks

Career Development

Well-being Resources

Mental Health Support

Pet Benefits

Job summary

AdventHealth in Tarpon Springs, FL seeks an RN Case Manager to coordinate discharge planning, collaborate with multidisciplinary teams, and educate patients and families on care options. You will assess readmissions, organize care conferences, and document the care transitions with attention to CMS guidelines.

The role requires nursing licensure, strong communication, and ability to navigate post-acute resources in a dynamic hospital setting.

Qualifications

• Demonstrated leadership in care coordination and discharge planning.
• Strong communication with patients, families, and care teams.
• Experience with readmission assessment and discharge planning.
• Ability to organize multidisciplinary rounds.
• Knowledge of CMS Conditions of Participation for Discharge Planning.
• Familiarity with post-acute care resources and community services.

Responsibilities

• Actively participates in multi-disciplinary rounds to review patient status and discharge plans across care levels.
• Educates patients and families on illness impact and mobilizes resources for post-acute needs.
• Assesses readmitted patients for reasons behind readmission and develops action plans.
• Organizes and facilitates patient and family care conferences with the team.
• Documents discharge planning evaluations, barriers, and progression in medical records.
• Assesses discharge needs across inpatient, observation, and ED settings, including financial and psychosocial factors.
• Develops discharge plans with contingency strategies and post-acute arrangements.
• Leverages coordination with post-acute services to ensure continuity of care and accurate discharge reconciliation.
• Performs other duties as assigned.

Skills

Leadership

Data analysis

Critical thinking

Multitasking

Customer service

Communication

Organizational skills

EMR literacy

Flexibility

CMS knowledge

Teamwork

Education

Associates of Nursing

Bachelors of Nursing

Tools

Outlook

Electronic Medical Records

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:

PRN

Shift:

Day (United States of America)

Address:

1395 S PINELLAS AVE

City:

TARPON SPRINGS

State:

Florida

Postal Code:

34689

Job Description:

• Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate.
• Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services.
• Assesses readmitted patients for the patient’s and family’s perceived reasons for the readmission.
• Organizes and facilitates patient and family care conferences with the multidisciplinary team.
• Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work. Communicates with Payors patient’s needs for authorization for post-acute care as needed.
• Assesses patients’ and families’ wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
• Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
• Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
• Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
• Other duties as assigned.

Knowledge, Skills, and Abilities:

• Leadership skills [Required]
• Process and Outcome data analysis skills [Required]
• Critical thinking and problem-solving skills [Required]
• Ability to manage multiple tasks and prioritize levels of importance [Required]
• Customer service skills [Required]
• Ability to work and communicate with people of all social, economic, and cultural backgrounds; be flexible, open-minded and adaptable to change [Required]
• Effective organizational skills [Required]
• Computer proficiency with Outlook e-mail and electronic medical records [Required]
• Flexible in a complex and changing healthcare environment [Required]
• Knowledge of community resources and post-acute care programs across the continuum [Required]
• Knowledge of clinical and social factors that affect the patient's functional status at discharge [Required]
• Knowledge of CMS Conditions of Participation for Discharge Planning [Required]
• Conflict management and resolution skills [Required]
• Teamwork principles [Required]

Education:

• Associates of Nursing [Required]
• Bachelors of Nursing [Preferred]

Work Experience:

• 2+ medical/hospital nursing experience [Required]
• Prior Care Management/Utilization Management experience [Preferred]

Licenses and Certifications:

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

Physical Requirements:

• Physical Requirements - https://tinyurl.com/2vvwrzem

Pay Range:

$33.08 - $58.04

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.