RN Care Manager

About the role

Joining AdventHealth is about extending the healing ministry of Christ. As a member of our team, you'll be valued for your unique experiences and contribute to a community that cares for the whole person.

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.
• Assesses readmitted patients for their perceived reasons for readmission and 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 patient needs for authorization for post-acute care as needed.
• Assesses patients and families' wholistically for discharge planning needs in the inpatient, observation, and 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.

Qualifications

• Associate's degree in Nursing [Required]
• Bachelor's degree in Nursing [Preferred]
• Field of study: Nursing
• 2+ years of medical/hospital nursing experience [Required]
• Prior care management/utilization management experience [Preferred]

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 email 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

Registered Nurse (RN) [Required]

Background Screening Requirement

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 requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

Additional Information

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