RN Care Management Supervisor – Discharge & Transitions

Team Member Services; United States; On-site; USD 71,000 - 133,000; Full time

Benefits offered by this job

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

Job summary

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

Qualifications

• 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.

Responsibilities

• 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.

Skills

Medical necessity

Care management

CMS guidelines

Leadership

Data reports

Critical thinking

Customer service

Process improvement

Multidisciplinary rounds

Communication

Education

Associate's of Nursing

Bachelor's of Nursing

Tools

Reporting software

PC applications

Job description

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