RN Care Manager

AdventHealth

Florida

On-site

USD 46,000 - 80,000

Full time

4 days ago

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Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

PTO Day One

401k Retirement Plan

Parental Leave 4 weeks

Career Development

Well-being resources

Mental health support

Pet benefits

Job summary

AdventHealth in Florida is seeking a qualified Registered Nurse Case Manager to coordinate discharge planning and care transitions across the inpatient and post-acute continuum.

The role requires strong leadership, data analysis and collaboration with multidisciplinary teams to optimize patient outcomes and resource utilization. On-site, day shifts with competitive benefits and growth opportunities.

Qualifications

Minimum 2 years of medical/hospital nursing experience.
Experience in Case Management/Utilization Management preferred.
Knowledge of discharge planning and CMS participation preferred.

Responsibilities

Participates in multidisciplinary rounds to review patient status and discharge plans.
Educates patients and families on illness impact and mobilizes resources.
Assesses readmissions and identifies reasons for readmission.
Organizes care conferences with the multidisciplinary team.
Documents discharge planning evaluations, ongoing assessment and barriers.
Coordinates post-acute care needs with payors.
Reviews medical records to inform discharge and transitions.
Uses technology to ensure continuity of care.

Skills

Leadership

Data analysis

Critical thinking

Multitasking

Customer service

Communication

Organizational

CMS guidelines

Conflict resolution

Teamwork

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

RN Licensure

CCM Certification

ACM Certification

Tools

Outlook

EMR

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:

Full time

Shift:

Day (United States of America)

Address:

1000 WATERMAN WAY

City:

TAVARES

State:

Florida

Postal Code:

32778

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]