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Registered Nurse Case Manager Part Time Weekend Days in Zephyrhills, FL at Adventist Health System

Date Posted: 11/19/2018

Job Snapshot

  • Job Schedule
  • Job Category
  • Date Posted:
  • Job ID:
  • Job Function
  • Travel
  • Shift
    1 - Day
  • AHS Zone
    1-Shared Services
  • Organization
    Florida Hospital Zephyrhills and Dade City

Job Description

Work Hours/Shift
Part Time
Florida Hospital Zephyrhills
Florida Hospital Zephyrhills has provided faith-based, whole person care to our community for more than 30 years. This means we build trust, create belonging and deliver hope, thereby extending the healing ministry of Christ, when caring for our patients. Our 139-bed facility includes an Accredited Chest Pain Center with PCI, Heart Institute, Primary Stroke Center, emergency department, state-of-the-art operating rooms, Bone & Joint Center, Simpson Breast Health Center and the area’s only Obstetrics Program, The Baby Place, offering family-centered maternity care. Other special services include, a Center for Wound Healing,  CREATION® Health Wellness Center, CREATION® Health Spa, home health, imaging center, cardiopulmonary rehabilitation, and physical, occupational, and speech therapy.  
You will be responsible for:
  • Coordinates discharge planning services and act as an effective member of the interdisciplinary team in improving quality, services, and financial aspects of overall patient care management.
  • Completes initial utilization reviews within 24 hours of inpatient admission or as required by payer.
  • Conduct concurrent reviews as appropriate per payer requirements and the Utilization Management Plan.
  • Evaluates patients for appropriateness, medical necessity, benefit systems and cost benefit analysis within the case load according to Case Management Department Plan, policies and procedures. 
  • Demonstrates knowledge of payer contracts and provides clinical information to payers, in a fiscally responsible manner.
  • Participates in discharge planning role by completing initial discharge planning assessments, formulating and implementing an appropriate discharge plan.
  • Function as part of a team to coordinate appropriate and safe discharge planning from the newborn to the Geriatric patient.
  • Responsible for performing assessments on Medicare, Medicaid and high-risk patients to determine discharge planning needs, always documents assessments.
  • Performs all aspects of Case Management in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
  • Treats patients and families with respect and dignity.
  • Maintains and respects confidentiality of patient/physician/personnel information
  • Able to communicate with physician regarding discharge planning needs of the patient.  Assists the physicians and other care givers to facilitate post-hospital care. 
  • Assures prompt communication of information required for timely discharge.
  • Is knowledgeable of medical necessity criteria for Medicare, Medicaid, HMO and private insurance coverage.
What will you need:                                                            
  • Experience with electronic patient information systems required.
  • Must have excellent interpersonal skills as well as written and oral communication skills.
  • Excellent organizational skills and high degree of self-motivation highly desirable
  • Minimum of Diploma or AS in Nursing
  • Two (2) years prior work experience in an acute care hospital as a Registered Nurse.
  • Florida RN license
  • Knowledge of Interqual, utilization review, and discharge planning regulations (Preferred)
  • Knowledge/experience with DRG and ICD-9 coding (Preferred)
  • Prior experience in a Case Manager or Utilization Management role. (Preferred)
  • OR (If Applicable):  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. (Preferred)
  • Experience in Home Healthcare, Hospice, or skilled nursing facilities is a plus (Preferred)
  • ACM, CCM, or other Case Management certification (Preferred)

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

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