Care Manager Registered Nurse Nights

AdventHealth•Orlando, FL

12d•Onsite

About The Position

The Care Manager Registered Nurse coordinates transitions of care for assigned patients across inpatient, observation, and emergency settings. The role assesses patient and family needs, reviews clinical and psychosocial information, and develops discharge plans and contingency plans to support timely progression of care and discharge. The Care Manager collaborates with patients, families, multidisciplinary teams, payors, post-acute care providers, and community resources to support continuity of care and patient and family decision-making. The position is full-time on the night shift at AdventHealth in Orlando, Florida.

Requirements

Associate degree in Nursing.
At least 2 years of medical or hospital nursing experience.
Registered Nurse (RN) license.
Leadership skills.
Process and outcome data analysis skills.
Critical thinking and problem-solving skills.
Ability to manage multiple tasks and prioritize their importance.
Customer service skills.
Ability to work and communicate with people of varied social, economic, and cultural backgrounds, and to remain flexible, open-minded, and adaptable to change.
Effective organizational skills.
Computer proficiency with Outlook email and electronic medical records.
Flexibility in a complex and changing healthcare environment.
Knowledge of community resources and post-acute care programs across the continuum.
Knowledge of clinical and social factors affecting a patient's functional status at discharge.
Knowledge of CMS Conditions of Participation for Discharge Planning.
Conflict management and resolution skills.
Knowledge of teamwork principles.

Nice To Haves

Bachelor's degree in Nursing.
Prior Care Management or Utilization Management experience.
Basic Life Support (BLS) certification.
Certified Case Manager (CCM) certification.
Accredited Case Manager (ACM) certification.

Responsibilities

Participate in multidisciplinary rounds to review patient status, progression, level of care, and discharge plans; identify resources needed at discharge and escalate care delays as appropriate.
Communicate with and educate patients and families about the emotional, social, and financial impacts of illness, mobilize family and community resources, and advocate for patient and family empowerment in health care decisions.
Assess readmitted patients’ and families’ perceived reasons for readmission.
Organize and facilitate patient and family care conferences with the multidisciplinary team.
Document discharge planning evaluations, ongoing assessments, discharge plans, multidisciplinary rounds, barriers to care progression, avoidable days, and patient and family needs according to standard work.
Communicate patients’ post-acute care authorization needs to payors as needed.
Assess patients and families holistically for discharge planning needs, including prior functioning, support systems, and financial and psychosocial factors, in a timely manner.
Review medical records, including medications, history and physical, labs, and progress notes, and incorporate clinical, social, and financial factors into the transition-of-care plan.
Develop discharge and contingency plans throughout the hospital stay and arrange post-acute care services, facilities, and community care for social needs.
Use technology and follow standard work and best practices to communicate with post-acute care services and facilities, support continuity of care, ensure complete medical records, and maintain accurate discharge reconciliation.
Perform other duties as assigned.