Supervisor Registered Nurse Care Management Women Services

AdventHealth•Orlando, FL

1d•Onsite

About The Position

Supervises daily operations of discharge planning and social services in the inpatient, observation, and emergency department, serving as the primary point of contact for inpatient unit Care Management barriers and concerns. Implements corporate Care Management strategies in collaboration with facility management. Actively participates in multidisciplinary rounds, ensuring active staff participation and effective discharge planning and barrier resolutions. Provides discharge planning and progression of care expertise to the interdisciplinary team. Leverages reports and dashboards to monitor the accuracy of care manager team's documentation and compliance with regulations. Facilitates care conferences for complex transitions and placements as needed. Participates in hospital and medical staff meetings to review patients with high dollar, extended length of stay, or difficult placement. Reports pertinent quality and risk issues to appropriate individuals, departments, and committees in a timely manner. Addresses patient, staff, physician, and department complaints and follows up with timely communications and escalations. Participates in hiring, onboarding, educating, evaluating, and mentoring staff. Performs other duties as assigned.

Requirements

Knowledge of medical necessity for appropriate patient status and level of care
Knowledge of IMM, MOON, Advanced Directives, Multidisciplinary Rounds, Social Services, Value Based Programs, and other Care Management compliance guidelines
Ability to lead others effectively while maintaining appropriate compliance
Knowledge of Centers for Medicare & Medicaid Services (CMS) Conditions of Participation for discharge planning
Ability to manage multiple tasks and prioritize level of importance
Critical thinking skills
Customer service skills
Ability to implement process improvement processes
Experience with PC applications and development of reports
Ability to negotiate optimal resolution of issues
Ability to manage multiple tasks and prioritize level of importance
Associate's of Nursing
1+ experience in direct care management
2+ front line nursing experience
Registered Nurse (RN)

Nice To Haves

Ability to engage in complex clinical decision-making
Strong professional verbal and electronic communication
Ability to analyze, evaluate, and monitor data
Ability to foster positive Interdisciplinary Team relations and encourage employee engagement
Ability to work independently and/or as part of a team
Bachelor's of Nursing
Accredited Case Manager (ACM)
Certified Case Manager (CCM)

Responsibilities

Supervises daily operations of discharge planning and social services in the inpatient, observation, and emergency department.
Serves as the primary point of contact for inpatient unit Care Management barriers and concerns.
Implements corporate Care Management strategies in collaboration with facility management.
Actively participates in multidisciplinary rounds, ensuring active staff participation and effective discharge planning and barrier resolutions.
Provides discharge planning and progression of care expertise to the interdisciplinary team.
Leverages reports and dashboards to monitor the accuracy of care manager team's documentation and compliance with regulations.
Facilitates care conferences for complex transitions and placements as needed.
Participates in hospital and medical staff meetings to review patients with high dollar, extended length of stay, or difficult placement.
Reports pertinent quality and risk issues to appropriate individuals, departments, and committees in a timely manner.
Addresses patient, staff, physician, and department complaints and follows up with timely communications and escalations.
Participates in hiring, onboarding, educating, evaluating, and mentoring staff.
Performs other duties as assigned.