Care Manager LPN

Community Health Systems•Crestview, FL

1d•Onsite

About The Position

As a Licensed Practical Nurse at North Okaloosa Medical Center, you’ll play a vital role in doing what you do best - providing quality care to our patients. Our nurses enjoy a robust benefits package including health insurance, 401(k), flexible scheduling, 100% licensure/certification reimbursement, Tuition Reimbursement, and up to $20K for student loan payments. Experienced full time LPN Care Manager with weekend rotation.

Requirements

2-4 years of clinical nursing experience required
LPN - Licensed Practical Nurse - State Licensure required
BCLS - Basic Life Support required

Nice To Haves

Experience in utilization review, case management, or discharge planning preferred
Strong understanding of utilization management principles, discharge planning, and transitions of care.
Knowledge of federal, state, and accreditation standards related to case management and patient care.
Excellent communication and interpersonal skills to collaborate with interdisciplinary teams and community resources.
Organizational and time management skills to prioritize tasks and meet deadlines in a dynamic environment.
Proficiency in electronic medical records (EMR) systems and documentation processes.
Ability to assess complex situations, identify solutions, and implement effective care plans.
New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.

Responsibilities

Conducts daily reviews of medical records to assess the appropriateness, medical necessity, and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee.
Identifies avoidable hospital days and communicates findings effectively to the UM committee and interdisciplinary teams.
Coordinates discharge planning activities, including arranging post-hospital placements and collaborating with patients, families, and physicians to ensure continuity of care.
Maintains professional relationships with community agencies and resources to facilitate referrals and support patient transitions.
Assists in facilitating interdisciplinary meetings, presenting relevant information, and supporting collaborative care planning.
Ensures accurate and timely documentation of utilization review, discharge planning activities, and patient interactions in accordance with organizational policies.
Identifies and appropriately reports cases to Child/Adult Protective Services as required by legal and ethical guidelines.
Participates in the development, implementation, and evaluation of utilization management and discharge planning programs to enhance care delivery and compliance.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.