RN Registered Nurse Care Manager Nights Full Time

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

• Benefits and Paid Days Off from Day One\n
• Paid Parental Leave\n
• Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) For eligible positions\n
• Nursing Clinical Ladder Program For eligible positions\n
• Whole Person Well-being and Mental Health Resources\n\nOur promise to you : \n\nJoining AdventHealth is about being part of something bigger. Its 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.\n\nSchedule : Full Time\n\nShift : Nights 5 PM-5 : 30 AM,Thurs, Fri, Sat\n\nLocation : 400 CELEBRATION PLACE, Celebration, 34747\n\nThe community you will be caring for : AdventHealth Celebration\n
• Established in 1997 and now a 357-bed hospital\n
• AdventHealth Celebration Health was designed as a Mediterranean resort-style facility to serve as a cornerstone of health in Disneys planned community of Celebration, Florida\n
• The hospital consistently delivers a state-of-the-art healing environment to residents of Osceola, Orange, Polk and Lake Counties, as well as to visitors from across the United States and the world. All within a 'living laboratory' of groundbreaking, research-driven clinical solutions that integrate mind, body and spirit in the defeat of illness and disease\n\nThe role you'll contribute : \n\nThe RN Care Manager in collaboration with the patient / family, social workers, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; development of a transition of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient.\n\nThe RN Care Manager is responsible for optimal patient flow / throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management. The RN Care\n\nManager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination,\n\ndischarge planning, transitions of care planning and understanding of medical necessity are core competencies of this role.\n\nThe RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to\n\nremove barriers to timely and efficient care delivery and reimbursement. The RN Care Manager provides education to\n\nnurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP\n\nfor Discharge Planning and care coordination. The RN Care Manager is knowledgeable of post-hospital care and services\n\navailable to the patient including, but not limited to the following : Home Health, Infusion Services, Durable Medical\n\nEquipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive\n\nprograms and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and\n\nCommunity-based Organizations. The RN Care Manager adheres to departmental and system goals, objectives, policies\n\nand procedures and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer\n\nservice and accepts responsibility in maintaining relationships that are equally respectful to all.\n\nThe value you'll bring to the team : \n
• Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and procedures. Interviews patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial Evaluation. Reviews necessary patient information including labs, medications (Pre and post hospital), History and Physical, Therapy notes, ED notes, test results and progress notes.\n
• Incorporates the patient / family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary team. Meets with patient / families to discuss realistic and appropriate discharge options and providers of post-hospital care. Incorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patient\n
• Identifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievement. Collaborates with the multidisciplinary healthcare team daily in multidisciplinary rounds to efficiently communicate and facilitate high quality patient progression of care and transitions plans. Evaluates the potential for readmissions throughout the patient stay through the monitoring of each patient's readmission risk scores and coordinating readmission mitigation interventions.\n
• Consults Social Work for specialty services related to psychosocial needs, decision making needs for patients who lack capacity, patient / family adjustment needs and psychosocially complex cases. Develops discharge plan with appropriate contingency plans throughout the hospital stay to enable adaptation to evolving patient care needs and ensure timely care coordination.\n
• Assists with End-of-Life conversation, Living Wills, Advance Directives, Power of Attorney, Community DNR. Facilitates patient care conferences with multidisciplinary team as needed. Establishes and documents, based on the predicted DRG and multidisciplinary team member's input, Anticipated Date of Transition (ADOT) and destination and updates, as needed.\n
• Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patients. Proactively identifies patients who no longer meet medical necessity and escalates potential denials, documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes and medical necessity discussions.\n\nThe expertise and experiences you'll need to succeed : \n\nMinimum qualifications : \n
• Associates Degree Nursing\n
• Current valid State of Florida or multistate license as a Registered Nurse\n
• 2 years of medical / hospital nursing experience\n\nPreferred qualifications : \n
• Bachelors degree in Nursing\n
• Health-related masters degree or MSN\n
• Prior Care Management / Utilization Management experience\n
• Professional Certification\n\nThis facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.\n\nCategory : Case Management\n\nOrganization : AdventHealth Celebration\n\nSchedule : Full-time\n\nShift : 3 - Night\n\nReq ID : 25041453\n\nWe are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability / handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.