RN/Case Management

Tallahassee Memorial HealthCare • Tallahassee, FL

6d

About The Position

Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. We are a career destination with over 6,000 colleagues who reflect the diversity of our community. TMH is the region's healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the region's only: Level II Trauma Center Primary Stroke Center Level III Neonatal Intensive Care Pediatric Intensive Care The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle. Our system also includes a psychiatric hospital, multiple specialty care centers, six residency programs and more than 50 affiliated physician practices. HOW YOU'LL MAKE AN IMPACT Your Role: Conducts federally mandated patient assessments based on Centers for Medicare and Medicaid Services (CMS) guidelines, including appropriate care planning, interdisciplinary communication, and Agency for Health Care Administration (AHCA) documentation preparation. Promotes wellness. Is responsible for collecting integral data and compiling/transmitting data to CMS. Determine patients’ needs based upon illness, diagnosis, prognosis, and social support systems. Contacts appropriate agencies to coordinate patient discharges into the community or long-term care settings. Ensures facility compliance with applicable state and federal regulation. Collaborates with other members of the healthcare team. - Tallahassee Memorial HealthCare is an equal opportunity employer and drug-free workplace. All employment is contingent upon successful completion of a drug screen, background check, reference verification, health assessment, and credential/license verification.

Requirements

• Associate degree in nursing.
• One (1) year of relevant work experience.
• Florida RN license.

Nice To Haves

• Bachelor’s degree in nursing.
• Two (2) or more years of relevant work experience

Responsibilities

• Discharge Planning & Placement Coordination Facilitate safe discharge placements to Inpatient Rehabilitation (IPR), Skilled Nursing Facilities (SNF), Long-Term Care (LTC), Assisted Living Facilities (ALF), and Independent Living settings.
• Home Health & Durable Medical Equipment Coordination Arrange Home Health Care (HHC) services and Durable Medical Equipment (DME) directly from the Emergency Department.
• Transfers Assist with documentation and coordination of hospital-to-hospital transfers.
• Medication Support Provide patients with access to medication assistance programs and sign Letters of Agreement (LOAs) for medications when appropriate.
• Transportation Assistance Coordinate discharge transportation for patients requiring support.
• Readmission Interventions Meet with patients readmitted to the hospital within 30 days to assess contributing factors and develop prevention strategies. Engage with patients who have visited the ER more than once within a six-month period to identify barriers and connect them with appropriate resources.
• Alternative Discharge Planning Provide resources and coordinate safe discharge plans for patients presenting as social admissions, ensuring non-medical needs are appropriately addressed.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees