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AdventHealth

Integrated health system delivering whole-person care

RN Care Manager

Medical, Clinical & VeterinaryPosted on Nov 13
Full-timePalm Coast, FL, USA$33.08 - $58.04In-person

About the Job

Requirements

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

Responsibilities

  • Participate in multidisciplinary rounds to review changes in patient status, progression and level of care, and discharge plans; identify resources needed at discharge, support timely transitions, 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 healthcare decisions and access to services.
  • 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 patient needs to payors for post-acute care authorization as needed.
  • Assess patients and families for discharge planning needs in inpatient, observation, and emergency departments, including prior functioning, support systems, financial circumstances, and psychosocial needs, in a timely manner to avoid discharge planning delays.
  • Review medical records, including medications, history and physicals, laboratory results, and progress notes, and incorporate clinical, social, and financial factors into transition-of-care plans.
  • Develop discharge plans and appropriate contingency plans throughout the hospital stay to support timely care coordination and progression of care; arrange post-acute care services and facilities as well as 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 medical records are complete, and ensure discharge reconciliation is accurate.
  • Perform other duties as assigned.

Desired Qualifications

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

About the Company

AdventHealth

Integrated health system delivering whole-person care

AdventHealth operates a nationwide network that provides whole-person health care across hospitals, physician practices, ambulatory surgery centers, outpatient clinics, home health, hospice, and digital tools. It coordinates care through an integrated system where care teams work across inpatient, outpatient, and at-home settings, supported by the AdventHealth app for scheduling, telehealth, and records. It differentiates itself with a mission-driven focus rooted in Christian heritage and a large, connected network designed to cover the full patient journey from hospital to home. Its goal is to extend the healing ministry of Christ by improving the health and prosperity of the communities it serves, offering accessible, coordinated care that addresses physical, mental, and spiritual well-being.

Company size
10,001+
Company stage
Grant
Total funding
$250K
Headquarters
Florida, United States
Founded
1973

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