Registered Nurse Care Manager Full Time Days Ocala at AdventHealth

Date Posted: 8/19/2021

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Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Ocala, FL
  • Date Posted:
    8/19/2021
  • Job ID:
    21008283
  • Job Family
    Case Management
  • Shift
    1 - Day

Job Description


Description

RN Care Manager Full Time Days - AdventHealth Ocala

Location Address: 1500 SW 1st Ave Ocala, Florida 34471

Top Reasons To Work At AdventHealth Ocala

  • Horse Capital of the World
  • Driving distance to Gainesville, St. Augustine, Orlando, Tampa, Sarasota
  • Part of the community since 1898, providing healthcare to Marion County for over 120 years
  • Florida Hospital Ocala offers a broad spectrum of services, with programs that are nationally recognized and accredited
  • Spectacular springs throughout the county

Work Hours/Shift:

Full Time Days

 

You Will Be Responsible For:

  • Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and procedures. Interviews patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial Evaluation.
  • Reviews necessary patient information including labs, medications (Pre and post hospital), History and Physical, Therapy notes, ED notes, test results and progress notes.
  • Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary team.
  • Incorporate clinical, social and financial factors into the transition of care plan.
  • Meets with patient/families to discuss realistic and appropriate discharge options and providers of post-hospital care. 
  • Identifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievement.
  • Collaborates with the multidisciplinary healthcare team daily in multidisciplinary rounds to efficiently communicate and facilitate high quality patient progression of care and transitions plans. 
  • Evaluates the potential for readmissions throughout the patient stay through the monitoring of each patient’s readmission risk scores and coordinating readmission mitigation interventions.
  • Consults Social Work for specialty services related to psychosocial needs, decision making needs for patients who lack capacity, patient/family adjustment needs and psychosocially complex cases.
  • Develops discharge plan with appropriate contingency plans throughout the hospital stay to enable adaptation to evolving patient care needs and ensure timely care coordination.
  • Facilitates patient care conferences with multidisciplinary team as needed.
  • Establishes and documents, based on the predicted DRG and multidisciplinary team member’s input, Anticipated Date of Transition (ADOT) and destination and updates, as needed.
  • Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patients
  • Ensures discharge disposition accuracy and consistency in the EMR on all discharge patients.
  • Serves as a content expert regarding payor information and educates interdisciplinary team and patients/caregivers regarding payor requirements/barriers.
  • Maintains clinical competency and current knowledge of community resources, post-acute care providers and payor requirements to perform job responsibilities.
  • Additional duties required.
Qualifications

What You Will Need:

  • ADN, RN
  • Two (2) years of hospital nursing experience
  • State specific RN license

EDUCATION AND EXPERIENCE PREFERRED:

  • BSN
  • Health-related Master’s degree or MSN
  • Prior Care Management/Utilization Management experience
  • ACM/CCM Certification

Job Summary:

The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care.


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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