RN Care Manager: Discharge & Care Coordination Leader

AdventHealth; Orlando (FL); On-site; USD 45,000 - 80,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Paid time off

403-B retirement

Parental leave

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth Orlando is seeking an experienced Registered Nurse in Care Management to coordinate discharge planning and ensure smooth patient transitions.

In this role you will participate in multidisciplinary rounds, educate patients and families on care decisions, assess readmission risks, and work with Payors and post-acute services for continuity of care.

Required: RN license, 2+ years of medical/hospital nursing; Associates degree in Nursing, BSN preferred.

Qualifications

• RN license required.
• Associates degree in Nursing required.
• BSN preferred.
• 2+ years of medical/hospital nursing experience.

Responsibilities

• 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.

Skills

Leadership

Data analysis

Critical thinking

multitask management

Customer service

Diversity awareness

Organization

Outlook/EMR

Adaptability

Teamwork

Education

Associates of Nursing

Bachelors of Nursing

Tools

Electronic Medical Records

Job description

AdventHealth Orlando is seeking an experienced Registered Nurse in Care Management to coordinate discharge planning and ensure smooth patient transitions.

In this role you will participate in multidisciplinary rounds, educate patients and families on care decisions, assess readmission risks, and work with Payors and post-acute services for continuity of care.

Required: RN license, 2+ years of medical/hospital nursing; Associates degree in Nursing, BSN preferred.