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Registered Nurse Case Manager Emergency Department Full Time Nights in Tampa, FL at AdventHealth

Date Posted: 3/7/2019

Job Snapshot

  • Job Schedule
  • Location:
    Tampa, FL
  • Job Category
  • Date Posted:
  • Job ID:
  • Job Function
    Case Management
  • Travel
  • Shift
    3 - Night
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Tampa

Job Description

"Registered Nurse Case Manager ED" AdventHealth Tampa
Location Address: 3100 East Fletcher Avenue Tampa, Florida 33613
Top Reasons to Work at AdventHealth Tampa
  • Florida Hospital Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
  • Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
  • Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
  • Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.
Work Hours/Shift:
Full Time
You Will Be Responsible For:
  • Demonstrates through behavior performance, Florida Hospital’s Core Values of Integrity, Compassion, Balance, Excellence,
  • Stewardship and Teamwork as outlined in the organization’s Performance Excellence Program 
  • Meet organizational goals for patient satisfaction scores, HCAHPS Discharge Planning question percentile target score.
  • Strive to provide excellence in service to hospital staff, patients and families.
  • Consistently utilize 5 fundamentals of AIDET Acknowledge, Introduce, Duration, Explanation, Thank you.
  • Committed to working as a team to improve employee satisfaction and engagement scores.
  • Demonstrate care for one another and respect for each person’s unique contributions,
  • Provides utilization review care that is non-judgmental and non-discriminatory.
  • Demonstrates respect for human dignity and self-worth.
  • Respects patient privacy, confidentiality, and dignity by adherence to all HIPAA regulations.
  • Maintains a professional appearance and manner.
  • Consider factors related to patient safety, effectiveness, cost and impact on practice in the delivery of Case Management services. Strives to reduce Medicare and ALOS below established benchmarks.
  • Assess appropriateness of setting as indicated for medical necessity according to the approved InterQual ISD criteria.  Initial and concurrent clinical reviews contain needed elements to sufficiently support.
  • Utilizes InterQual®ISD criteria to ensure appropriate level of care settings. 
  • Passes Annual  Inter-Rater  reliability  testing  for  InterQual®.
  • Apply appropriate Inpatient, Observation or Outpatient in a bed admission status.
  • Screens for lowest level of safe care and initiate referrals and communication with HHC, ALF, DME, SNF, Insurance providers.
  • Provide information to patients and families for resources in the community for care, financial assistance etc.
  • Strives to reduce the Medicare & ALOS to below established benchmarks.
  • Strives to reduce the number of observation cases and the number of hours patients remain in observation status.
  • Ensures appropriate referral of cases for second level review.
  • Documents in Florida Hospital approved EHR and electronic tools to ensure information for data collection and productivity.
  • Facilitates staff and physicians to utilize Core Measure order sets and protocols.
  • Educates physicians and staff on community resources when needed.
  • Identifies and updates current information on community resources. 
  • Maintains knowledge of current managed care contracts, federal statutes, regulations and procedures and applies them in performance of review activities.
  • Enhances professional knowledge & development through participation in educational programs and in-service meetings. Stays current with journal articles etc.
  • Completes annual mandatory education.
  • Honor's patient's rights by following privacy guidelines and code of ethics
  • Demonstrates honesty and fairness in all actions and behaviorsand accepts accountability for ones actions. 
  • Recognize and anticipate the needs of others and go beyond their job to exceed expectations of those we serve. 
  • Greets everyone they encounter with a smile, using caring tone during conversations, and makes frequent and appropriate eye contact.
  • Use common courtesy practices such as helping lost individuals, saying please and thank you, and knocking on a patient’s door before entering.   
  • Proactively support a culture of safety and quality. 
  • Listen respectfully and avoid defensiveness in verbal and non-verbal communication. Exhibit willingness to assist co-workers.
  • Display support in organizational decisions in their communication and actions.
  • Refrains from gossiping and spreading rumors. 
  • Looks for opportunities to support, recognize and celebrate teamwork.
  • Conduct themselves in a calm and collected manner always
  • Demonstrate patient/customer focused, compassionate behavior
  • Take responsibility for decisions, actions and results and deliver on commitments
  • Practice financial responsibility
  • Cooperate and collaborate with team members and others
  • Comply with the Employee Code of Conduct and all other Hospital Institutional Policies and Procedures
  • Demonstrate compliance with all federal, state and local laws; rules and government
  • Demonstrate effective communication skills with all team members, patients and families.
  • Maintain satisfactory participation and attendance at required and non-required meetings and staff development programs
  • Promote evidence of adherence to the hospital confidentiality policy 
What You Will Need:
  • Coordinates/facilitates patient care progression throughout the continuum.
  • Works collaboratively and maintains active communication with physicians, nursing and other members of the multi- disciplinary care team to effect timely, appropriate patient management.
  • Addresses/resolves system problems impeding diagnostic or treatment progress.  Proactively identifies and resolves delays and obstacles to discharge.
  • Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
  • Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.             
  • Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.
  • Applies approved clinical appropriateness criteria (InterQual and CMS Compliance guidelines) to monitor appropriateness of admissions observations, inpatients, outpatients in a bed and continued stays, and documents findings based on Department standards.
  • Identifies at-risk populations using approved screening tool and follows established reporting procedures.
  • Monitors length of stay and ancillary resource use on an ongoing basis.  Takes actions to achieve continuous improvement in both areas.
  • Refers cases and issues to Care Management Physician Advisor in compliance with Department procedures and follows up as indicated.
  • Application of InterQual® Criteria set.
  • Assessment competency and knowledge application for all ages from newborn to geriatric.
  • Assessment competency for appropriate use of hospital services and care coordination.
  • Excellent oral communication skills.
  • Excellent written communication skills.
  • Excellent computer skills.
  • Ability to work independently
  • Graduate of an accredited School of Nursing, Specific Degree/Major: Nursing
  • Current license of registered nurse in Florida or licensure from another state with verification of application of eligibility for Florida licensure by endorsement
Job Summary:
The Case Manager is accountable for the organization, to facilitate the flow of patients to the next site (level) of care including inpatient acute care, community services or transfer to another facility/campus, sequence of services and resources that are necessary and appropriate for the achievement of patient care outcomes within effective time frames on a specific group of patients.  In addition, the Case Manager will coordinate the plan of care among all members of the health care team.  The Case Manager must have the professional ability to practice under minimal supervision and perform the following seven essential activities of Case Management: Appropriateness of Setting, Assessment, Planning, Implementation, Coordination, Monitoring and Evaluation, with emphasis on decreasing length of stay and monitoring cost effective health care across the continuum of care.  The Case Manager must continually review the patient to facilitate status, patient needs with the appropriate level and type of medical, psychosocial, or social service as they relate across the continuum of care.  The Case Manager evaluates patients for appropriateness, medical necessity, benefit systems and cost benefit analysis within the caseload according to Case Management Department Plan, policies and procedures.

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

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