Registered Nurse RN Care Manager East Orlando

Case Management Society of America (CMSA) ®; Orlando (FL); On-site; USD 65,000 - 85,000; Full time

Job summary

A leading healthcare organization in Orlando is seeking an RN Care Manager to enhance patient-centered care coordination. This role involves collaborating with various stakeholders to ensure efficient transitions of care, optimizing patient flow, and managing clinical issues. The ideal candidate will have a nursing degree, relevant experience, and a commitment to improving patient outcomes.

Benefits

Paid Parental Leave

Debt-free Education

Whole Person Well-being Resources

Paid Days Off from Day One

Qualifications

• At least 2 years of hospital nursing experience.
• Current valid State of Florida or multistate license as a Registered Nurse.

Responsibilities

• Collaborates with patients and interdisciplinary teams for care coordination.
• Evaluates post-hospital needs and develops transition of care plans.
• Facilitates collaborative management across the care continuum.

Skills

Patient Care Coordination

Resource Monitoring

Collaboration

Education

Associates Degree in Nursing

Bachelor’s degree in Nursing

Health-related master's degree or MSN

Job description

All the benefits and perks you need for you and your family:

• Benefits and Paid Days Off from Day One
• Paid Parental Leave
• Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) *For eligible positions*
• Nursing Clinical Ladder Program *For eligible positions*
• Whole Person Well-being and Mental Health Resources

Our promise to you:

Joining AdventHealth means being part of a community that believes in the wholeness of each person and aims to uplift others in body, mind, and spirit. It is a place to thrive professionally and grow spiritually by Extending the Healing Ministry of Christ. You will be valued for who you are and the unique experiences you bring to our purpose-driven team, knowing that together we are stronger.

Schedule/Shift: Full-Time/Days

Location Address: 7727 LAKE UNDERHILL ROAD, Orlando, 32822

The role you'll contribute: The RN Care Manager collaborates with patients, families, social workers, nurses, physicians, and the interdisciplinary team to ensure patient-centered care coordination and progression through the continuum of care. The RN Care Manager promotes efficient, cost-effective care through resource monitoring and escalates clinical care issues as needed. Reporting to the Care Management Supervisor, Manager, or Director of Nursing, they evaluate post-hospital needs, develop transition of care plans, and initiate their implementation before patient discharge.

The RN Care Manager aims to optimize patient flow, ensure safe transitions, enhance patient satisfaction and safety, prevent readmissions, and manage length of stay. They participate in daily multidisciplinary rounds, focusing on care coordination, discharge planning, and understanding medical necessity. They facilitate collaborative management across the care continuum, remove barriers to timely care, and educate team members on resource utilization, medical necessity, CMS CoP for Discharge Planning, and care coordination. They are knowledgeable about post-hospital services such as Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, and community programs. They adhere to departmental policies, ensure quality and compliance, and uphold outstanding customer service.

The value you’ll bring to the team:

• Complete initial evaluations for transition of care needs within one calendar day of admission, documenting according to policies.
• Interview patients and caregivers, review medical records, labs, medications, and notes to inform care planning.
• Incorporate patient and family goals into care plans, discuss discharge options, and consider social determinants of health.
• Identify and resolve barriers to care transitions, participate in daily rounds, and evaluate readmission risks.
• Consult with Social Work for psychosocial needs and develop contingency discharge plans.
• Assist with end-of-life decisions and facilitate multidisciplinary care conferences.
• Participate in daily rounds, monitor patient progress, and escalate issues related to medical necessity and care progression.
• Ensure timely patient notifications for compliance and support professional growth through mandatory education and skills development.

The expertise and experiences you’ll need to succeed:

Minimum qualifications:

• Associates Degree in Nursing
• Current valid State of Florida or multistate license as a Registered Nurse
• At least 2 years of hospital nursing experience

Preferred qualifications:

• Bachelor’s degree in Nursing
• Health-related master's degree or MSN
• Prior experience in Care Management or Utilization Management
• Professional Certification