Care Manager RN

Full time

Shift:
Day (United States of America)

Address:
2300 KURT ST

City:
EUSTIS

State:
Florida

Postal Code:
32726

Job Description:

• Assesses patients' and families' wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
• Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
• Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
• Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
• Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate.
• Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services.
• Assesses readmitted patients for the patient's and family's perceived reasons for the readmission.
• Organizes and facilitates patient and family care conferences with the multidisciplinary team.
• Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work.
• Provides patient and family advocacy, and support patient's choice and patient rights during hospitalization.
• Communicates with Payors patient's needs for authorization for post-acute care as needed.
• Other duties as assigned.

• N/A

• Associate's of Nursing [Required]
• Bachelor's of Nursing [Preferred]

• N/A

• 1+ year of nursing experience [Required]

• N/A

• Registered Nurse (RN) [Required]
• Basic Life Support (BLS) [Preferred]
• Driver's License (DL) [Required]

(Please click the link below to view work requirements)

• Physical Requirements - https://tinyurl.com/msy4mja2

$68,132.50 - $119,520.35