Registered Nurse Clinical Case Manager
Location: Palm Coast
Posted on: March 7, 2020
Description ? Registered Nurse Clinical Case Manager at
AdventHealth Palm Coast? Location Address: ?Palm Coast, FL Top
Reasons to Work at AdventHealth Palm Coast Health Insurance
Coverage Faith-based organization Great benefits such as:
Educational Reimbursement Career growth and advancement potential ?
? ? Work Hours/Shift: ?FT / Day? 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. ? Qualifications
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. ? Job
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. ??? ? ? ? ? ? ? ? ? ? ? This facility is
an equal opportunity employer and complies with federal, state and
local anti-discrimination laws, regulations and ordinances.
Keywords: AdventHealth, Palm Coast , Registered Nurse Clinical Case Manager, Other , Palm Coast, Florida
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