Registered Nurse, Care manager- Care Management

Orlando Health; Orlando (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Orlando Health is seeking a Registered Nurse, Care Manager to ensure effective management of patient care from admission to discharge. The role involves collaborating with the clinical team to assess patient needs, coordinate care services, and maintain compliance with hospital policies, while providing quality education to patients and staff.

Qualifications

• Minimum three years of experience in care management or related fields.

Responsibilities

• Assess all patients within assigned population including medical necessity screening.
• Coordinate care considering diagnosis, treatments, age, payment, and resources.
• Lead multidisciplinary care conferences and manage disputes.

Skills

Patient Assessment

Care Coordination

Clinical Utilization Management

Education

Graduate of an approved nursing school

Current Florida RN license

BLS certification

Tools

Handle with Care certification

Job description

Registered Nurse, Care Manager - Care Management

Join us to apply for the Registered Nurse, Care Manager - Care Management role at Orlando Health.

Position Overview

Located at Orlando Health Winnie Palmer Hospital for Women & Babies, opened in 2006, providing specialized care for women and newborns. Recognized for nursing excellence and high-quality patient care, the hospital welcomes nearly 14,000 babies annually and features one of the largest neonatal intensive care units in the country.

Role Summary

The Registered Nurse Care Manager promotes effective management of hospital resources from admission to discharge, collaborating with the clinical team to identify patients who will benefit from care coordination services, including assessing risk factors, clinical utilization management, and transition planning.

Shift

Varies - Full-time, Monday to Friday with rotating weekends and holidays.

Responsibilities

1. Assess all patients within assigned population, including medical necessity screening and submission for Physician Advisor review.
2. Coordinate care considering diagnosis, treatments, age, payment, and resources.
3. Assign initial DRG, monitor LOS, and manage transition planning.
4. Lead multidisciplinary care conferences and manage disputes.
5. Make referrals, involve social work, and communicate with patients and families about care plans.
6. Ensure compliance with regulatory standards and hospital policies.
7. Provide education to patients, families, and staff.
8. Develop collaborative relationships and monitor quality outcomes.
9. Maintain documentation, participate in quality improvement, and stay updated with current literature.
10. Perform additional duties as assigned.

Qualifications

• Graduate of an approved nursing school.
• Current Florida RN license and BLS certification.
• Handle with Care certification within 90 days for Behavioral Health Unit.
• Minimum three years of experience in care management or related fields.