Job Description

Job Description

Description
RN Care Manager PRN Days - AdventHealth Wesley Chapel

Location Address: 2600 Bruce B. Downs Blvd Wesley Chapel, Florida 33544

Top Reasons to Work at AdventHealth Wesley Chapel

* From state- of- the- art equipment to the most intricate building details, AdventHealth Wesley Chapel was designed from the ground up to maximize healing, patient care and wellness
* Recognized as leader in patient satisfaction and was named Top 100 Hospital in Modern Healthcare Magazine by IBM Watson Health
* 50,000 sq ft community Health & Wellness Center
* Comprehensive womens health center named Inspiration Place that incorporates female physician specialists, womens imaging, pelvic floor and female physical therapy and a boutique spa.
* Consistently named a Top Workplace in Tampa Bay by the Tampa Bay Times
* Opened an offsite 24 bed, 24/7 emergency room in Central Pasco to better serve the emergency health needs of residents in west and central Pasco

Work Hours/Shift:

PRN days

You Will Be Responsible For:

* Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and procedures. Interviews patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial Evaluation.
* Reviews necessary patient information including labs, medications (Pre and post hospital), History and Physical, Therapy notes, ED notes, test results and progress notes.
* Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary team.
* Incorporate clinical, social and financial factors into the transition of care plan.
* Meets with patient/families to discuss realistic and appropriate discharge options and providers of post-hospital care.
* Identifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievement.
* Collaborates with the multidisciplinary healthcare team daily in multidisciplinary rounds to efficiently communicate and facilitate high quality patient progression of care and transitions plans.
* Evaluates the potential for readmissions throughout the patient stay through the monitoring of each patients readmission risk scores and coordinating readmission mitigation interventions.
* Consults Social Work for specialty services related to psychosocial needs, decision making needs for patients who lack capacity, patient/family adjustment needs and psychosocially complex cases.
* Develops discharge plan with appropriate contingency plans throughout the hospital stay to enable adaptation to evolving patient care needs and ensure timely care coordination.
* Facilitates patient care conferences with multidisciplinary team as needed.
* Establishes and documents, based on the predicted DRG and multidisciplinary team members input, Anticipated Date of Transition (ADOT) and destination and updates, as needed.
* Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patients
* Ensures discharge disposition accuracy and consistency in the EMR on all discharge patients.
* Serves as a content expert regarding payor information and educates interdisciplinary team and patients/caregivers regarding payor requirements/barriers.
* Maintains clinical competency and current knowledge of community resources, post-acute care providers and payor requirements to perform job responsibilities.
* Additional duties required.

Qualifications
What You Will Need:

* ADN, RN
* Two (2) years of hospital nursing experience
* State specific RN license

EDUCATION AND EXPERIENCE PREFERRED:

* BSN
* Health-related Masters degree or MSN
* Prior Care Management/Utilization Management experience
* ACM/CCM Certification

Job Summary:

The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care.

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