RN Care Manager

adventhealth; Town of Riverview (WI); On-site; USD 46,000 - 80,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

Paid time off from day one

403(b) retirement plan

Parental leave (4 weeks)

Job summary

AdventHealth in Riverview, FL is seeking a Registered Nurse Case Manager to lead discharge planning and care coordination across inpatient and post-acute settings. You will participate in multidisciplinary rounds, educate patients and families, assess readmission drivers, and document comprehensive discharge plans.

The role requires nursing licensure, at least 2 years of hospital experience, and strong communication with diverse patients and teams.

Qualifications

• RN required (Associates degree minimum)
• BLS certification preferred
• CCM/ACM certification preferred
• 2+ years in medical/hospital nursing
• Care/Utilization management experience preferred
• Florida background screening compliance

Responsibilities

• Actively participates in multi-disciplinary rounds to review patient status, care changes, and discharge plans.
• Educates patients and families on emotional, social, and financial aspects of illness and mobilizes resources.
• Assess reasons for readmission and organize discharge planning.
• Document discharge evaluations and plans; coordinate post-acute care and payer authorizations.
• Review medical records to inform transition of care and discharge reconciliation.
• Develop discharge plans with contingency planning during hospital stay.

Skills

Leadership skills

Data analysis

Critical thinking

Multi-tasking

Customer service

Communication across diverse groups

Organizational skills

Outlook & EMR proficiency

Adaptability

CMS discharge planning knowledge

Teamwork

Conflict management

Process improvement

Post-acute care knowledge

Life-long learning

Education

Associate Degree in Nursing

Bachelor’s Degree in 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.

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 requ