RN Clinical Case Manager FT Day in Palm Coast, FL at Adventist Health System

Date Posted: 10/10/2018

Job Snapshot

  • Job Schedule
    Full-Time
  • Job Category
  • Date Posted:
    10/10/2018
  • Job ID:
    18013333
  • Job Function
    Case Management
  • Travel
    Yes, 25 % of the Time
  • Shift
    1 - Day
  • AHS Zone
    1-Shared Services
  • Organization
    Florida Hospital Flagler

Job Description


Description

Work Hours/Shifts

Full Time, Days

Florida Hospital Flagler

At Florida Hospital Flagler, we’re deeply rooted in the community and strive to extend the healing ministry of Christ in everything we do. Our recently constructed, state-of-the-art hospital in Palm Coast, Florida is equipped with the latest technology, specially trained experts, and advanced care centers. 

Florida Hospital Flagler is owned and operated by Adventist Health System, a faith-based health care organization. Through our Christian mission of hope, health and healing, we strive to promote wellness of mind, body and spirit. At Florida Hospital Flagler, providing the best possible care to our community requires hiring the best possible care providers.

Accolades:

o   The Joint Commission has recognized Florida Hospital Flagler as a Top Performer on Key Quality Measures.

o   Accredited Orthopedic Center of Excellence from The Joint Commission. The Joint Commission has also recognized Florida Hospital Flagler as a Top Performer on Key Quality Measures

o   Recognized by the American Heart Association as a Platinum-Level Fit-Friendly Worksite

o   “A” rating on patient safety from The Leapfrog Group based on our exemplary services, processes and structures.

o   Designated Breast Imaging Center of Excellence according to the American College of Radiology (ACR).

o   Commission on Cancer Accreditation recognizing commitment to provide exceptional care to patients

o   Named a Gallup Great Workplace Award winner for fifth year in a row.

We offer career opportunities in a variety of setting from physician office practices, to acute care, home care and hospice.  If Florida Hospital Flagler sounds like your next career destination, we encourage you to apply today at https://ahs.taleo.net/careersection/95flagler/jobsearch.ftl?lang=en&src=cws-10380Qualifications

GENERAL 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.   

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.
  • Establishes a therapeutic working relationship with patients, physician, and family and patient care team.
  • 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 will you need?

  • BS in Nursing or ASN.
  • Minimum 3-5 years’ Registered Nurse experience in an acute care hospital required.
  • 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
  • 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.
  • Excellent written and oral communications skills required.
  • Able to adapt to change.
  •  Two (2) years’ experience: utilization review, resource management, care coordination discharge/transitional planning; hospital and commercial payer denials and appeals;
  • Case Management Certification / Accreditation 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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