Community Care Nurse

ChenMed - Jacksonville, FL

Full-time - Mid Level

Jacksonville, FL

Ambulatory Health Care Services

About the position

The Community Care Nurse at ChenMed plays a pivotal role in enhancing the quality of patient management and satisfaction. This position is designed to promote continuity of care and cost-effectiveness through the integration of case management, utilization review, and discharge planning functions. The incumbent will adhere to strict departmental goals and objectives, ensuring compliance with regulatory standards and policies while delivering quality patient care. The Community Care Nurse will coordinate the integration of social services and case management functions into patient care, discharge, and home planning processes, collaborating with various departments, external service organizations, and healthcare facilities. In this role, the nurse will conduct concurrent medical record reviews using specific indicators and criteria approved by the medical staff. Acting as a patient advocate, the nurse will investigate and report adverse occurrences while providing staff education related to resource utilization, discharge planning, and the psychosocial aspects of healthcare delivery. The nurse will promote effective and efficient utilization of clinical resources, mobilizing them to achieve desired clinical outcomes within specific timeframes. Regular communication with physicians throughout hospitalization is essential, as is developing effective working relationships to assist in maintaining appropriate costs and desired patient outcomes. Additional responsibilities include coordinating the provision of social services to patients and families, completing expanded assessments of patient and family needs at admission, and referring cases for counseling when necessary. The nurse will facilitate interdisciplinary patient care rounds and conferences to review treatment goals, optimize resource utilization, and provide family education. The role also involves directing and participating in the development and implementation of patient care policies and protocols, providing guidance in handling special cases or patient needs, and performing other duties as assigned by management.

Responsibilities

• Coordinates the integration of social services/case management functions into patient care, discharge, and home planning processes.
• Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff.
• Acts as a patient advocate: investigates and reports adverse occurrences and performs staff education related to resource utilization, discharge planning, and psychosocial aspects of healthcare delivery.
• Promotes effective and efficient utilization of clinical resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe.
• Conducts review for appropriate utilization of services from admission through discharge. Evaluates patient satisfaction and quality of care provided.
• Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship.
• Coordinates the provision of social services to patients, families, and significant others to enable them to deal with the impact of illness on individual family functioning.
• Completes expanded assessment of patients and family needs at time of admission. Completes psychosocial assessment.
• Refers cases where patients and/or family would benefit from counseling to complete complex discharge plan to social worker.
• Facilitates interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post-hospital needs.
• Directs and participates in the development and implementation of patient care policies and protocols to provide advice and guidance in handling special cases or patient needs.

Requirements

• High school diploma or equivalent required.
• Bachelor's degree in a healthcare related field preferred.
• Valid, active licensure as professional nurse (RN, LPN or other nursing discipline) required.
• A minimum of 7 years' utilization review/case management experience, including psychological aspects of care.
• A minimum of 7 years' experience in discharge planning from a hospital is preferred.
• Experience in case management in a hospital and/or healthcare setting highly desired.
• Possession and maintenance of a current, valid Driver's License.
• Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required within the first 90 days of employment.

Nice-to-haves

• Spoken and written fluency in English.
• Strong written and verbal communication skills; presentation skills.
• Excellent organizational and time management skills.
• Astute problem-solving skills with the ability to multi-task.
• Compassionate and empathetic demeanor with the ability to work both independently and in a group/team environment.
• General computer knowledge and effective Microsoft Office Products (PowerPoint, Excel, Word and Outlook) skills.

Benefits

• Great compensation
• Comprehensive benefits
• Career development and advancement opportunities
• Work-life balance
• Opportunities to grow