RN Care Manager: Discharge Planning & Patient Advocacy

Team Member Services; Daytona Beach (FL); On-site; USD 65,000 - 120,000; Full time

Benefits offered by this job

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

Job summary

AdventHealth in Daytona Beach, FL seeks an RN with discharge planning expertise to coordinate transitions of care. You will review patient status, involve families, and mobilize post-acute resources for timely discharges.

You will document progress, work with payors for post-acute authorizations, and ensure holistic assessment of social and financial needs to support safe discharge planning in inpatient settings.

Qualifications

• Leadership and care coordination experience.
• Experience with discharge planning and care transitions.
• Ability to educate patients and families on post-acute needs.
• Familiarity with CMS Conditions of Participation for Discharge Planning.
• Strong communication across multi-disciplinary teams.
• Knowledge of community resources and post-acute programs.

Responsibilities

• Actively participates in multi-disciplinary rounds to review patient status and discharge plans.
• Communicates with patients and families about emotional, social, and financial impacts of illness and coordinates post-acute resources.
• Documents discharge planning evaluations and progress in the chart.
• Assesses readmission factors and engages care teams to prevent delays.
• Escalates care delays to leadership when necessary.
• Leverages standard processes to ensure timely care coordination and continuity of records.

Skills

Leadership

Data analysis

Critical thinking

Prioritization

Customer service

Communication

Organization

Outlook/EMR

Adaptability

CMS knowledge

Education

Associate's of Nursing

Bachelor's of Nursing

Tools

Outlook

Electronic Medical Records (EMR)

Job description

AdventHealth in Daytona Beach, FL seeks an RN with discharge planning expertise to coordinate transitions of care. You will review patient status, involve families, and mobilize post-acute resources for timely discharges.

You will document progress, work with payors for post-acute authorizations, and ensure holistic assessment of social and financial needs to support safe discharge planning in inpatient settings.