Overview RN Care Manager Full Time Altamonte role at AdventHealth
Location: 601 EAST ALTAMONTE DRIVE, Altamonte Springs, FL 32701. Schedule: Full-Time, Days.
The role you'll contribute The 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. Responsibilities include patient evaluations of post-hospital needs; development of transition of care plans and initiation of implementation prior to patient discharge. The RN Care Manager is under the general supervision of the Care Management Supervisor/Manager/Director of Nursing.
Key focus areas include: optimal patient flow/throughput, continuity of care, smooth and safe transitions, patient satisfaction and safety, readmission prevention, and length of stay management. The role involves daily communication with the interdisciplinary team during rounds, and core competencies in care coordination, discharge planning, transitions of care planning, and understanding medical necessity.
The RN Care Manager facilitates collaborative management across the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement. Provides education to nurses, physicians, and the interdisciplinary team on utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. Knowledge of post-hospital care options includes Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care programs, follow-up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities, and community-based organizations. Adheres to departmental and system goals, policies, and procedures and ensures quality patient care and regulatory compliance. Participates in outstanding customer service and maintains respectful relationships with all.
Responsibilities Complete Initial Evaluation for transition of care needs within one calendar day of admission, documenting according to policies and procedures.
Interview patient and involved caregivers (as permitted) and review current and past inpatient and outpatient medical records.
Incorporate patient/family care goals and preferences into the transition of care planning and communicate these to the multidisciplinary team.
Discuss realistic discharge options and providers of post-hospital care with patient/families; incorporate social determinants of health into planning; apply risk mitigation interventions.
Identify and address potential barriers to transition of care plan achievement; collaborate with the multidisciplinary team daily in rounds.
Educate nurses, physicians, and the team on resource utilization, medical necessity, CMS CoP, discharge planning, and care coordination.
Be knowledgeable about post-hospital services available to patients (e.g., Home Health, DME, Palliative/Hospice, Outpatient Services, Transitional Care, SNFs, Rehabilitation, and community organizations).
Ensure compliance with policies, participate in customer service, and maintain professional development requirements.
Minimum Qualifications Associate 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
Prior Care Management/Utilization Management experience
Professional Certification
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. 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.
Category: Case Management
Organization: AdventHealth Altamonte Springs
Schedule: Full-time
Shift: Day
Req ID: 25042310
We 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.