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Part Time Care Manager, RN - ED - Case Management - Celebration

Company: Florida Hospital
Location: Kissimmee
Posted on: August 13, 2017

Job Description:

Care Manager, RN - ED - Case Management - Celebration Celebration Health seeks to hire a RN Care Manager who will embrace our mission to extend the healing ministry of Christ. Facility Profile: Established in 1997 and now a 203-bed hospital, Florida Hospital Celebration Health was designed as a Mediterranean resort-style facility to serve as a cornerstone of health in Disney's planned community of Celebration, Florida. The hospital consistently delivers a state-of-the-art healing environment to residents of Osceola, Orange, Polk and Lake Counties, as well as to visitors from across the United States and the world. All within a "living laboratory" of groundbreaking, research-driven clinical solutions that integrate mind, body and spirit in the defeat of illness and disease. Department Profile: The Care Management objective is to create a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for services to meet individual and family comprehensive needs. Care Management is a full service inpatient department that partners closely with Physicians, clinical/nursing teams, ancillary departments and the revenue cycle teams. Care management meets the needs of our patients, families and significant others throughout the care continuum including the post-discharge needs. Work Hours/Shifts: 2/12 hour shifts rotates weekdays/weekends; 9:30A - 10:00P Job Summary: Under general supervision of the Director and/or Manager of Care Management, in collaboration with the patient/family, social workers, physicians and interdisciplinary team, the ED RN Care Manager provides guidance regarding admissions, status decisions, and level of care. The ED RN Care Manager, in a team approach with the ED Social Worker/ED staff, assists with identification of readmissions, patients with potential needs for community resources or potential post-acute needs. Education is provided to physicians and other members of the clinical team on issues related to utilization review including appropriateness of admissions and level of care. The ED RN Care Manager complies with Care Management departmental goals, objectives, and policies and procedures, and supports the Florida Hospital mission. The ED RN Care Manager actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Knowledge, Skills, Education, & Experience Required: Ability to communicate effectively with diverse populations Ability to function in a stressful and fast-paced environment Interpersonal skills that promote teamwork Critical thinking and problem-solving skills Knowledge of and ability to utilize in-house and external resources Flexibility in prioritization Ability to multitask Effective organizational skills Minimum of five years recent acute care experience Superior clinical skills to determine appropriate clinical and other information for medical necessity reviews and identify appropriate mechanism to address delays or variation for expected care practices. (Preferred) Significant knowledge and understanding of availability of community and post-acute resources and related payer requirements. (Preferred) Master's degree in Nursing (Preferred) Minimum of two years of experience in the ED (Preferred) Minimum of two years of utilization review/case management experience and a minimum of one year of experience in discharge planning in an acute care setting highly desirable.(Preferred) Licensure, Certification, or Registration Required: Clear/Active Florida State license as a Registered Nurse Case Management certification highly desirable - ACM (Accredited Case Manager), CCM (Certified Case Manager), RN-BC (Board Certified in Case Management) (Preferred) Job Responsibilities: Demonstrates through behavior Florida Hospital's Core Values of Integrity, Compassion, Balance, Excellence, Stewardship and Teamwork as outlined in the organization's Performance Excellence Program Conducts clinical review using specific indicators and criteria in accordance with regulatory and contractual requirements. Uses established medical necessity criteria as described by policy to conduct screening for medically appropriate admissions and level of care determinations. Escalates cases as appropriate to Care Management Director/Manager. Utilizes information obtained from information systems to accurately assess patient clinical needs and treatment if available and appropriate. Provides updates to the ED clinical team regarding Care Management involvement with the patient during the patient's visit. Works as a resource to the ED clinical team as needed. Acts as a resource and provides staff and physician education related to resource utilization, medical necessity, and federal regulation and guidelines. Works with the ED team to achieve optimal patient flow/throughput to enhance continuity of care, smooth and safe transition, patient satisfaction, and patient safety. Communicates effectively with physicians to obtain necessary information to complete all medical necessity reviews as required to prevent unnecessary delays and denials of service. Participates with the healthcare team regarding the patient's treatment plan; may communicate with patient/family as needed. Refers to the Social Worker for follow-up as needed. Responds to processes to identify patients with frequent ED visits and/or readmissions to maintain and enhance the plan of care. Utilizes thorough knowledge of various computer/information systems to perform assigned duties. Documents activities, including utilization review activities, statistics, clinical assessments and plans in a thorough and timely manner or per Care Management Department policy. Thoroughly and efficiently provides information through documentation for continuity of care. Performs other duties as assigned by Care Management leadership. If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the RN Case Manager opportunity with Celebration Health and apply online today. Job Keywords: RN, ED, Case Manager, Celebration
Category: Education , Keywords: Admissions Manager

Keywords: Florida Hospital, Orlando, Part Time Care Manager, RN - ED - Case Management - Celebration, Other, Kissimmee , Florida

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