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RN Clinical Care Manager PRN in Daytona Beach, FL at Adventist Health System

Date Posted: 12/6/2018

Job Snapshot

  • Job Schedule
    Per Diem
  • Job Category
  • Date Posted:
    12/6/2018
  • Job ID:
    18009574
  • Job Function
    Care Management
  • Travel
    No
  • Shift
    1 - Day
  • AHS Zone
    1-Shared Services
  • Organization
    FH Memorial Medical Center

Job Description


Description

Work Hours/Shifts

PRN

Florida Hospital Memorial Medical Center    

     Our goal at Florida Hospital Memorial Medical Center is simple: to offer our patients the absolute best care around, in the most compassionate, community-focused setting possible.

     Florida Hospital Memorial Medical Center consists of two campuses: a 277-bed main hospital in Daytona Beach and a 119-bed hospital in Ormond Beach, as well as our new outpatient facility, located at the Pavilion at Port Orange. Through our Christian mission of hope, health and healing, we strive to promote wellness of mind, body and spirit. We are a recipient of the 2012 Governor’s Sterling Award, which is the highest award an organization in Florida can receive for performance excellence.

     More than 400 physicians hold privileges to practice at our facilities, and we employ more than 1,700 care-team members. Our specialties include cardiology, cancer, emergency care, surgical services, obstetrics, neurosurgery, stroke care, rehabilitation, weight-loss surgery, imaging, laboratory, home health, wound care, diabetes, hospice, physician practices and women’s services.

     Patients and families from across the country appreciate Florida Hospital Memorial Medical Center’s unique culture. Our cutting-edge technology is accompanied by the holistic environment and patient-centered care that have defined Florida Hospital for more than a century. Best of all, it’s just a short trip from some of Florida’s most exciting attractions—and minutes from the Sunshine State’s premier beaches.

Qualifications

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.
  • Collaborates with the interdisciplinary care team on daily basis, and discusses information regarding significant changes in patient status, episode of care, and discharge plans; identification of resources necessary at discharge, and assists in timely transition plan, and coordination of services.
  • Anticipates and/or identifies patient educational needs, discharge planning issues and effectively collaborates with the team leader, social worker, and attending physician to expedite early discharge planning.
  • Demonstrates knowledge of community resources. Partner with community-based healthcare agencies to provide best practice in post-acute level of care, decreasing re-admission rate.

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.

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

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