RN Registered Nurse Care Manager

AdventHealth; Texas; On-site; USD 47,000 - 87,000; Full time

Job summary

AdventHealth in Texas seeks an experienced Registered Nurse to actively participate in discharge planning and care coordination across multidisciplinary teams. You will assess patient needs, communicate with families, and organize post-acute care resources to ensure timely transitions.

The role emphasizes leadership, data-driven problem solving, and collaboration with payors and community resources, with opportunities for professional growth within a faith-based health system.

Qualifications

• RN required with 2+ years of hospital nursing experience.
• Associate degree in Nursing is required; Bachelor's preferred.
• CCM certification preferred; ACM also preferred.

Responsibilities

• Participates in multi-disciplinary rounds to review patient status, progression, and discharge plans.
• Educates patients and families about emotional, social, and financial aspects of illness and discharge resources.
• Develops discharge plans and coordinates post-acute care services.

Skills

Leadership

Data analysis

Critical thinking

Multitasking

Customer service

Communication

Organizational skills

EMR proficiency

Flexibility

Community resources

CMS CO P knowledge

Teamwork

Education

Associate's of Nursing

Bachelor's of Nursing

Tools

Outlook

EMR System

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: 2201 S CLEAR CREEK RD City: KILLEEN State: Texas Postal Code: 76549

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]

Education:

• Associate's of Nursing [Required]
• Bachelor's 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]
• 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:

$33.99 - $63.22

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.