Registered Nurse Case Manager Full Time Days at AdventHealth

Date Posted: 9/11/2019

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Tampa, FL
  • Job Category
  • Date Posted:
    9/11/2019
  • Job ID:
    19014723
  • Job Family
    Case Management
  • Travel
    No
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Tampa

Job Description


Description
"Registered Nurse Case Management Full Time Days" 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 Days
 

You Will Be Responsible For:

  • 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.
  • 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.
  • Additional duties as needed 


Qualifications
What You Will Need:
  • 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
PREFERRED:
  • BSN
  • Greater than Three years’ experience in healthcare
  • Any combination of education, training or experience that provides the knowledge, skills and abilities required to successfully accomplish the assigned duties and responsibilities of the position.
  • One year acute-care nursing, charge nurse, emergency department, or crucial care nursing experienced preferred
  • Case Management Certification
 
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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