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Care Manager Registered Nurse Ed/Obs FT Days 5K Sign On

Job Description


Description

Care Manager, RN – ED/Observation - AdventHealth Winter Park

 
Location Address: 201 NORTH LAKEMONT AVENUE
 

Top Reasons to work at AdventHealth Winter Park

  •  Commitment to whole-person care, giving you the opportunity to help heal people in mind body and spirit.
  • Fulfilling work with people who treat you like family.
  • Excellent benefits, market-driven wages and career development opportunities.
  • Recognized for the seventh year in a row as a recipient of the Gallup Great Workplace Award as part of the AdventHealth network.
  • Opportunities for advancement as we expand our network across the nation.
 
 
Work Hours/Shift:

·         Full Time, Varies

·          

You Will Be Responsible For:  

·         Uses established medical necessity criteria as described by policy to conduct screening for medically appropriate admissions. Escalates cases as appropriate to Care Management Director/Manager.  Utilizes information obtained from information systems to accurately assess patient clinical needs and treatment if available and appropriate.

·         Provides updates to the ED and/or Observation clinical team regarding Care Management involvement with the patient during the patient’s visit.

·         Works as a resource to the ED and/or Observation clinical team as needed.

·         Acts as a resource and provides staff and physician education related to resource utilization, medical necessity, and federal regulation and guidelines.

·         Works with the ED and/or Observation team to achieve optimal patient flow/throughput to enhance continuity of care, smooth and safe transition, patient satisfaction, and patient safety. 

·         Communicates effectively with physicians to obtain necessary information to complete all medical necessity reviews as required to prevent unnecessary delays and denials of service. 

 
Qualifications
What You Will Need:
  • Three years recent acute care experience
  • Associate Degree in Nursing
  • Current valid State of Florida or multi state license as a Registered Nurse
  • Superior clinical skills to determine appropriate clinical and other information for medical necessity reviews and identify appropriate mechanism to address delays or variation for expected care practices (Preferred)
  • Bachelor’s degree in Nursing (Preferred)
  • Minimum of two years of experience in the ED (Preferred)
  • Minimum of two years of utilization review/case management experience and a minimum of one year of experience in discharge planning in an acute care setting (Preferred)
  • Case Management certification– ACM (Accredited Case Manager), CCM (Certified Case Manager), RN-BC (Board Certified in Case Management) (Preferred)
Job Summary:

Under general supervision of the Director and/or Manager of Care Management, in collaboration with the patient/family, social workers, physicians and interdisciplinary team, the ED/Observation RN Care Manager provides guidance regarding admissions. The ED/Observation RN Care Manager, in a team approach with the ED Social Worker/ED staff, assists with identification of readmissions, patients with potential needs for community resources or potential post-acute needs.  The ED/Observation RN Care Manager complies with Care Management departmental goals, objectives, and policies and procedures, and supports the AdventHealth mission.  The ED/Observation RN Care Manager actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.



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

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Job Description: Care Manager Registered Nurse Ed/Obs FT Days 5K Sign On

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Description   Care Manager, RN – ED/Observation - AdventHealth Winter Park   Location Address:  201 NORTH LAKEMONT AVENUE   Top Reasons

Description

Care Manager, RN – ED/Observation - AdventHealth Winter Park

 
Location Address: 201 NORTH LAKEMONT AVENUE
 

Top Reasons to work at AdventHealth Winter Park

  •  Commitment to whole-person care, giving you the opportunity to help heal people in mind body and spirit.
  • Fulfilling work with people who treat you like family.
  • Excellent benefits, market-driven wages and career development opportunities.
  • Recognized for the seventh year in a row as a recipient of the Gallup Great Workplace Award as part of the AdventHealth network.
  • Opportunities for advancement as we expand our network across the nation.
 
 
Work Hours/Shift:

·         Full Time, Varies

·          

You Will Be Responsible For:  

·         Uses established medical necessity criteria as described by policy to conduct screening for medically appropriate admissions. Escalates cases as appropriate to Care Management Director/Manager.  Utilizes information obtained from information systems to accurately assess patient clinical needs and treatment if available and appropriate.

·         Provides updates to the ED and/or Observation clinical team regarding Care Management involvement with the patient during the patient’s visit.

·         Works as a resource to the ED and/or Observation clinical team as needed.

·         Acts as a resource and provides staff and physician education related to resource utilization, medical necessity, and federal regulation and guidelines.

·         Works with the ED and/or Observation team to achieve optimal patient flow/throughput to enhance continuity of care, smooth and safe transition, patient satisfaction, and patient safety. 

·         Communicates effectively with physicians to obtain necessary information to complete all medical necessity reviews as required to prevent unnecessary delays and denials of service. 

 
Qualifications
What You Will Need:
  • Three years recent acute care experience
  • Associate Degree in Nursing
  • Current valid State of Florida or multi state license as a Registered Nurse
  • Superior clinical skills to determine appropriate clinical and other information for medical necessity reviews and identify appropriate mechanism to address delays or variation for expected care practices (Preferred)
  • Bachelor’s degree in Nursing (Preferred)
  • Minimum of two years of experience in the ED (Preferred)
  • Minimum of two years of utilization review/case management experience and a minimum of one year of experience in discharge planning in an acute care setting (Preferred)
  • Case Management certification– ACM (Accredited Case Manager), CCM (Certified Case Manager), RN-BC (Board Certified in Case Management) (Preferred)
Job Summary:

Under general supervision of the Director and/or Manager of Care Management, in collaboration with the patient/family, social workers, physicians and interdisciplinary team, the ED/Observation RN Care Manager provides guidance regarding admissions. The ED/Observation RN Care Manager, in a team approach with the ED Social Worker/ED staff, assists with identification of readmissions, patients with potential needs for community resources or potential post-acute needs.  The ED/Observation RN Care Manager complies with Care Management departmental goals, objectives, and policies and procedures, and supports the AdventHealth mission.  The ED/Observation RN Care Manager actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.



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

AdventHealth ​​​​Winter Park

​About the Area
Winter Park is a city near Orlando, Florida. It’s known for its abundant outdoor spaces like leafy Central Park. The Charles Hosmer Morse Museum of American Art showcases glass art by Louis Comfort Tiffany. Overlooking Lake Osceola, the Albin Polasek Museum & Sculpture Gardens displays works by the notable Czech-American artist. By Lake Virginia, Cornell Fine Arts Museum shows antiquities and contemporary works.​




Our Culture

What is the culture like at AdventHealth
We have a friendly, Christian culture that inspires us to care for patients with uncommon compassion and uncompromising excellence. Because we believe that each person is created in the image of God with an inseparable connection between mind, body and spirit, our focus goes beyond treating illness toward helping people achieve optimal well-being so they can enjoy happy, healthy lives. This same philosophy of care is extended to our team members through personal interactions (team lunches, huddles, and prayer) and professional resources (ongoing education, comprehensive benefits, and employee wellness program) to help you be your best and provide the best possible care.




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