RN Care Manager

AdventHealth; Riverview (FL); On-site; USD 46,000 - 80,000; Full time

Job summary

AdventHealth in Riverview, FL is seeking an experienced Registered Nurse in Case Management to coordinate discharge planning and ensure timely transitions of care across the multidisciplinary team. You will assess patient and family needs, educate on illness impact and available resources, organize care conferences, document plans and communicate with payors to obtain post-acute authorizations.

The role requires 2+ years of medical/hospital nursing, active RN licensure, and preference for BLS,

Qualifications

• RN licensure required.
• BLS/ CCM/ ACM credentials preferred.
• 2+ medical/hospital nursing experience required.
• Care management/utilization management experience preferred.

Responsibilities

• Actively participates in multidisciplinary rounds to review patient status, discharge plans and resource needs.
• Educates patients and families on illness impacts and available resources; advocates for timely discharge.
• Organizes and facilitates discharge planning conferences with the team.
• Documents discharge plans and barriers; communicates with payors for post-acute authorization as needed.
• Assesses readmission reasons and develops contingency plans.
• Reviews medical records to integrate clinical, social, and financial factors into care transition.

Skills

Leadership

Data analysis

Critical thinking

Multitasking

Customer service

Communication across diverse

Organizational skills

Outlook & EMR proficiency

Adaptability in healthcare

Community resources knowledge

CMS Conditions of Participation

Conflict resolution

Teamwork

Education

Associates of Nursing

Bachelors of Nursing

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.

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

9330 US HIGHWAY 301 S

City

RIVERVIEW

State

Florida

Postal Code

33578

Job Description

• Up to $10k Sign on bonus (if eligible)
• Up to $10K Relocation Bonus (if eligible)
• 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.
• Assess 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:

(Please click the link below to view work 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.