Registered Nurse Care Manager Altamonte Springs

AdventHealth - Altamonte Springs, FL

Full-time - Mid Level

Altamonte Springs, FL

Hospitals

About the position

The RN Care Manager plays a crucial role in ensuring patient-centered care coordination and progression through the continuum of care. This position involves collaboration with patients, families, and an interdisciplinary team to facilitate efficient and cost-effective care, focusing on optimal patient flow, safety, satisfaction, and readmission prevention. The RN Care Manager is responsible for evaluating post-hospital needs, developing transition of care plans, and ensuring quality patient care and regulatory compliance.

Responsibilities

• Collaborate with patients, families, and interdisciplinary teams to ensure patient-centered care coordination.
• Conduct initial evaluations for transition of care needs within one calendar day of admission.
• Review necessary patient information including labs, medications, and medical history for care planning.
• Incorporate patient/family care goals and preferences into transition of care planning.
• Meet with patients and families to discuss discharge options and post-hospital care providers.
• Identify and resolve barriers to transition of care plan achievement with the interdisciplinary team.
• Evaluate potential for readmissions and coordinate mitigation interventions.
• Consult with Social Work for specialty services related to psychosocial needs.
• Develop and document discharge plans with contingency plans throughout the hospital stay.
• Facilitate patient care conferences with the multidisciplinary team as needed.
• Participate in daily multidisciplinary rounds to review care progression and discharge plans.
• Proactively identify patients who no longer meet medical necessity and escalate potential denials.
• Ensure timely patient notifications for compliance with regulations.

Requirements

• Associates Degree in Nursing
• Current valid State of Florida or multistate license as a Registered Nurse
• 2 years of medical/hospital nursing experience

Nice-to-haves

• Bachelor's degree in Nursing
• Health-related master's degree or MSN
• Prior Care Management/Utilization Management experience
• Professional Certification

Benefits

• Paid Parental Leave
• Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)
• Nursing Clinical Ladder Program
• Whole Person Well-being and Mental Health Resources