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Registered Nurse Clinical Case Manager

Job Description


Description

 

Registered Nurse Clinical Case Manager at AdventHealth Daytona Beach

Location Address: 301 Memorial Medical Parkway Daytona Beach, FL 32117

Top Reasons to Work at AdventHealth Daytona Beach

Health Insurance Coverage

Faith-based organization

Great benefits such as: Educational Reimbursement

Career growth and advancement potential

High quality of life with low cost of living on the shores of sunny Daytona Beach, FL. 

 

Work Hours/Shift:

Full Time / Day

 

You Will Be Responsible For:

 

  • Assumes responsibility for ongoing concurrent assessment of patient care needs through patient rounds, and communication with direct nursing care givers, physicians, patient and family members, and other members of the health care team.
  • Utilizes principles of growth and development and the aging process, and makes appropriate decisions for patients based upon their age, (neonate, child, adult, geriatrics) as necessary.
  • Leadership in care management rounds; collaborates with physicians, staff, support services and patients/family to establish goals and interventions for the patient's episode of illness, updating the plan of care as needed.
  • Identifies patients with significant deviations from the plan of care, and works collaboratively with physicians, staff, support services and patient/family toward resolution.


 

Qualifications


What You Will Need:

 

  • Minimum 3-5 years’ Registered Nurse experience in an acute care hospital required.
  • Minimum 2 years’ experience in hospital utilization review, care coordination, discharge planning or has experience in a community-based care management role with commercial payers, inpatient rehab hospital care management, or home care services care manager role.
  • Registered Nurse Case Manager hired into the case management department with limited experience in a hospital- based clinical case management program may participate in an orientation, education and departmental preceptorship program.
  • Current Florida RN license; BLS-American Heart Association
  • Graduate of an accredited School of Nursing
  • Excellent knowledge of the denial/appeal process, Governmental and Third party payers audit processes.
  • Knowledge of medical necessity monitoring tools- InterQual, Milliman Care Guidelines (MCG), principles of Managed Care, Computer applications, including but not limited to: Windows, Outlook, Excel and Microsoft Word.
  • Critical thinking/problem solving skills.

 

Job Summary:

 

The Registered Nurse-Clinical Case Manager, in collaboration with physicians, and other interdisciplinary team members provide patient care coordination, care planning, facilitation and coordination of discharge needs for hospitalized patients in the acute care setting, and or during the emergency room discharge process. The underlying objectives are enhancing the quality of clinical outcomes, patient satisfaction, while managing the cost of care. The Clinical Case Manager strives to promote patient wellness through evidenced based practice, improved care outcomes, efficient utilization of health services, and appropriate level of care for patients during hospitalization and on a continuum after discharge.   

 

 

 

 

 

 

 

 

 

 


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: Registered Nurse Clinical Case Manager

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Description   Registered Nurse Clinical Case Manager at AdventHealth Daytona Beach Location Address:   301 Memorial Medical Parkway Daytona Beach, FL 32117 Top

Description

 

Registered Nurse Clinical Case Manager at AdventHealth Daytona Beach

Location Address: 301 Memorial Medical Parkway Daytona Beach, FL 32117

Top Reasons to Work at AdventHealth Daytona Beach

Health Insurance Coverage

Faith-based organization

Great benefits such as: Educational Reimbursement

Career growth and advancement potential

High quality of life with low cost of living on the shores of sunny Daytona Beach, FL. 

 

Work Hours/Shift:

Full Time / Day

 

You Will Be Responsible For:

 

  • Assumes responsibility for ongoing concurrent assessment of patient care needs through patient rounds, and communication with direct nursing care givers, physicians, patient and family members, and other members of the health care team.
  • Utilizes principles of growth and development and the aging process, and makes appropriate decisions for patients based upon their age, (neonate, child, adult, geriatrics) as necessary.
  • Leadership in care management rounds; collaborates with physicians, staff, support services and patients/family to establish goals and interventions for the patient's episode of illness, updating the plan of care as needed.
  • Identifies patients with significant deviations from the plan of care, and works collaboratively with physicians, staff, support services and patient/family toward resolution.


 

Qualifications


What You Will Need:

 

  • Minimum 3-5 years’ Registered Nurse experience in an acute care hospital required.
  • Minimum 2 years’ experience in hospital utilization review, care coordination, discharge planning or has experience in a community-based care management role with commercial payers, inpatient rehab hospital care management, or home care services care manager role.
  • Registered Nurse Case Manager hired into the case management department with limited experience in a hospital- based clinical case management program may participate in an orientation, education and departmental preceptorship program.
  • Current Florida RN license; BLS-American Heart Association
  • Graduate of an accredited School of Nursing
  • Excellent knowledge of the denial/appeal process, Governmental and Third party payers audit processes.
  • Knowledge of medical necessity monitoring tools- InterQual, Milliman Care Guidelines (MCG), principles of Managed Care, Computer applications, including but not limited to: Windows, Outlook, Excel and Microsoft Word.
  • Critical thinking/problem solving skills.

 

Job Summary:

 

The Registered Nurse-Clinical Case Manager, in collaboration with physicians, and other interdisciplinary team members provide patient care coordination, care planning, facilitation and coordination of discharge needs for hospitalized patients in the acute care setting, and or during the emergency room discharge process. The underlying objectives are enhancing the quality of clinical outcomes, patient satisfaction, while managing the cost of care. The Clinical Case Manager strives to promote patient wellness through evidenced based practice, improved care outcomes, efficient utilization of health services, and appropriate level of care for patients during hospitalization and on a continuum after discharge.   

 

 

 

 

 

 

 

 

 

 


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

AdventHealth Daytona Beach

About the area
Daytona Beach is famous for Bike Week, NASCAR, and its 23 miles of hard-packed white sand, but there is a lot more to the area than that. Whether your ideal week includes shopping and dining along the riverfront area, playing laser tag and go-karting with the family, or hiking and camping in the nearby state forests, you can find the pace of life you’re looking for. The area also has a vibrant arts community and seven quality colleges and universities, including Embry-Riddle Aeronautical University.




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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