Care Manager RN

About the role

Joining AdventHealth is about extending the healing ministry of Christ. You will be part of a community that values the whole person and serves to uplift others in body, mind, and spirit.

Responsibilities

• Participates in multi-disciplinary rounds to review changes in patient status, progression, and level of care, and discharge plans for all assigned patients.
• Educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs.
• Affords patients and families the opportunity to make health care decisions and access needed services.
• Assesses readmitted patients for their perceived reasons for 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 to obtain 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 factors in a timely manner.
• Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates 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.
• Communicates 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.

Requirements

• Associates of Nursing [Required]
• Bachelors of Nursing [Preferred]
• 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]
• Registered Nurse (RN) [Required]
• Basic Life Support (BLS) [Preferred]
• Certified Case Manager (CCM) [Preferred]
• Accredited Case Manager (ACM) [Preferred]

Skills

• 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]
• Conflict management and resolution skills [Required]
• Teamwork principles [Required]

Qualifications

• 2+ medical/hospital nursing experience [Required]
• Prior Care Management/Utilization Management experience [Preferred]

Benefits

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Time Off from Day One
• 403-B Retirement Plan
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule

Full time

Shift: Day

Pay

$32.76 - $57.47

Additional Information

N/A

Background Screening Requirement

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Physical Requirements

View work requirements

Equal Opportunity Employer

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