Registered Nurse Clinical Case Manager Care Management FT 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.
• The Joint Commission has recognized Florida Hospital Flagler as a Top Performer on Key Quality Measures.
• 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
• Recognized by the American Heart Association as a Platinum-Level Fit-Friendly Worksite
• “A” rating on patient safety from The Leapfrog Group based on our exemplary services, processes and structures.
• Designated Breast Imaging Center of Excellence according to the American College of Radiology (ACR).
• Commission on Cancer Accreditation recognizing commitment to provide exceptional care to patients
• 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.
You will be responsible for:
- 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.
- Performs initial and ongoing care management assessments to determine, based on patients presenting signs and symptoms, attending physician’s documented assessment, daily care planning, care coordination, and facilitation of continuum of care discharge needs as appropriate while in the inpatient setting; and/or during the transition to the alternate level of care pre/post ambulatory care/procedure services, and emergency department discharged patients.
- Conducts utilization review-case reviews on all admissions, regardless of payer or admission status type, within one working day of admission from all points of entry, and utilization review continued stay re-assessments as scheduled throughout the course of the patient’s hospital stay; facilitate the care coordination and discharge needs including discharge planning education and or arrangements, and referrals to Social Work Staff for social service interventions, when necessary. Initiates links with post-acute external care resources.
- 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.
- Participates in the hospital high risk screening and re-admission process improvement, and the development of innovative case management/utilization review strategies.
- Assumes responsibility for clinical (LOC) discharge planning to ensure safe transitions to the community or post-acute care in collaboration with social work for social discharge planning needs.
- Initiates a discharge checklist; assures that each patient has an appropriate discharge plan based on the level of care required, and ensure timely authorizations for post-acute care needs.
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
- 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.