Texas Health Huguley FWS
RN Care Manager Full Time Altamonte
Texas Health Huguley FWS, Florida, New York, United States
Job Description - RN Care Manager Full Time Altamonte (25042310)
Job Description
Job Number: 25042310
Description All the benefits and perks you need for you and your family: Benefits and Paid Days Off from Day One Debt‑free Education (Certifications and Degrees without out‑of‑pocket tuition expense) *For eligible positions* Nursing Clinical Ladder Program *For eligible positions* Whole Person Well‑being and Mental Health Resources 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. Schedule/Shift:
Full‑Time/Days The role you'll contribute:
The RN Care Manager works collaboratively with the patient/family, social workers, nurses, physicians and the interdisciplinary team to ensure patient‑centered care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost‑effective care through appropriate resource monitoring and clinical care escalations. Under the general supervision of the Care Management Supervisor or Manager or Director of Nursing, the RN Care Manager is responsible for patient evaluations of post‑hospital needs, development of a transition of care plan and its implementation prior to discharge. The 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 Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning and transition of care planning are core competencies. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement. The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on utilization of resources, medical necessity and CMS CoP for Discharge Planning. The RN Care Manager is knowledgeable of post‑hospital care and services available to the patient, including but not limited to Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow‑up appointments, Skilled Nursing Facilities, Rehabilitation Services, facilities and community‑based organizations. The RN Care Manager adheres to departmental and system goals, objectives, policies and procedures, ensuring quality patient care and regulatory compliance. Actively participates in outstanding customer service and maintains respectful relationships with all stakeholders. The value you’ll bring to the team: 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 caregivers as permitted, and reviews current and past inpatient and outpatient medical records in the Initial Evaluation. Incorporates patient/family care goals and preferences into the transition of care planning and communicates these goals to the multidisciplinary team. Meets with patient/families to discuss realistic discharge options and providers of post‑hospital care, incorporating social determinants of health and applying risk mitigation interventions. Identifies and collaborates with the interdisciplinary team and hospital operations to resolve barriers to transition of care plan achievement. Collaborates daily in multidisciplinary rounds to facilitate high‑quality patient progression of care and transitions plans, and evaluates readmission risk through monitoring of each patient’s readmission risk scores and coordinating mitigation interventions. Consults Social Work for specialty services related to psychosocial needs, decision‑making needs for patients lacking capacity, patient/family adjustment needs and psychosocially complex cases, developing a discharge plan with appropriate contingency plans throughout the hospital stay. Assists with End‑of‑Life conversation, Living Wills, Advance Directives, Power of Attorney, Community DNR, facilitates patient care conferences with multidisciplinary team, establishes and documents Anticipated Date of Transition (ADOT) and destination updates. Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patients, identifies patients no longer meeting medical necessity, escalates potential denials, documents avoidable days and facilitates progression of care, collaborating with Utilization Management staff for medical necessity discussions. Ensures patient notifications are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice, and Beneficiary Notice Letter (BNL). Promotes individual professional growth through mandatory/continuing education and skills competency, supporting department‑based goals which contribute to organizational success. Qualifications The expertise and experiences you’ll need to succeed: Associate’s Degree in Nursing Current valid State of Florida or multistate license as a Registered Nurse 2 years of medical/hospital nursing experience Preferred qualifications: Bachelor’s degree in Nursing Health‑related master’s degree or MSN Professional Certification Job
Case Management Organization
AdventHealth Central Florida Primary Location
FL HOSP ALTAMONTE SPRINGS 601 EAST ALTAMONTE DRIVE Altamonte Springs 32701
#J-18808-Ljbffr
Description All the benefits and perks you need for you and your family: Benefits and Paid Days Off from Day One Debt‑free Education (Certifications and Degrees without out‑of‑pocket tuition expense) *For eligible positions* Nursing Clinical Ladder Program *For eligible positions* Whole Person Well‑being and Mental Health Resources 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. Schedule/Shift:
Full‑Time/Days The role you'll contribute:
The RN Care Manager works collaboratively with the patient/family, social workers, nurses, physicians and the interdisciplinary team to ensure patient‑centered care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost‑effective care through appropriate resource monitoring and clinical care escalations. Under the general supervision of the Care Management Supervisor or Manager or Director of Nursing, the RN Care Manager is responsible for patient evaluations of post‑hospital needs, development of a transition of care plan and its implementation prior to discharge. The 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 Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning and transition of care planning are core competencies. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement. The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on utilization of resources, medical necessity and CMS CoP for Discharge Planning. The RN Care Manager is knowledgeable of post‑hospital care and services available to the patient, including but not limited to Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow‑up appointments, Skilled Nursing Facilities, Rehabilitation Services, facilities and community‑based organizations. The RN Care Manager adheres to departmental and system goals, objectives, policies and procedures, ensuring quality patient care and regulatory compliance. Actively participates in outstanding customer service and maintains respectful relationships with all stakeholders. The value you’ll bring to the team: 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 caregivers as permitted, and reviews current and past inpatient and outpatient medical records in the Initial Evaluation. Incorporates patient/family care goals and preferences into the transition of care planning and communicates these goals to the multidisciplinary team. Meets with patient/families to discuss realistic discharge options and providers of post‑hospital care, incorporating social determinants of health and applying risk mitigation interventions. Identifies and collaborates with the interdisciplinary team and hospital operations to resolve barriers to transition of care plan achievement. Collaborates daily in multidisciplinary rounds to facilitate high‑quality patient progression of care and transitions plans, and evaluates readmission risk through monitoring of each patient’s readmission risk scores and coordinating mitigation interventions. Consults Social Work for specialty services related to psychosocial needs, decision‑making needs for patients lacking capacity, patient/family adjustment needs and psychosocially complex cases, developing a discharge plan with appropriate contingency plans throughout the hospital stay. Assists with End‑of‑Life conversation, Living Wills, Advance Directives, Power of Attorney, Community DNR, facilitates patient care conferences with multidisciplinary team, establishes and documents Anticipated Date of Transition (ADOT) and destination updates. Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patients, identifies patients no longer meeting medical necessity, escalates potential denials, documents avoidable days and facilitates progression of care, collaborating with Utilization Management staff for medical necessity discussions. Ensures patient notifications are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice, and Beneficiary Notice Letter (BNL). Promotes individual professional growth through mandatory/continuing education and skills competency, supporting department‑based goals which contribute to organizational success. Qualifications The expertise and experiences you’ll need to succeed: Associate’s Degree in Nursing Current valid State of Florida or multistate license as a Registered Nurse 2 years of medical/hospital nursing experience Preferred qualifications: Bachelor’s degree in Nursing Health‑related master’s degree or MSN Professional Certification Job
Case Management Organization
AdventHealth Central Florida Primary Location
FL HOSP ALTAMONTE SPRINGS 601 EAST ALTAMONTE DRIVE Altamonte Springs 32701
#J-18808-Ljbffr