Registered Nurse Clinical Case Manager - PRN - Days AdventHealth - Saint Augustine, FL
Location: Saint Augustine
Posted on: January 15, 2022
Registered Nurse Clinical Case Manager at AdventHealth Palm
Top Reasons to Work at AdventHealth
Health Insurance Coverage
Great benefits such as: Educational Reimbursement
Career growth and advancement potential
You Will Be Responsible For:
Assumes responsibility for ongoing concurrent assessment of patient
care needs through patient rounds, and communication with direct
nursing care givers, physicians, patient and family members, and
other members of the health care team.
Utilizes principles of growth and development and the aging
process, and makes appropriate decisions for patients based upon
their age, (neonate, child, adult, geriatrics) as
Leadership in care management rounds; collaborates with physicians,
staff, support services and patients/family to establish goals and
interventions for the patient's episode of illness, updating the
plan of care as needed.
Identifies patients with significant deviations from the plan of
care, and works collaboratively with physicians, staff, support
services and patient/family toward resolution.
What You Will Need:
Minimum 3-5 years' Registered Nurse experience in an acute care
Minimum 2 years' experience in hospital utilization review, care
coordination, discharge planning or has experience in a
community-based care management role with commercial payers,
inpatient rehab hospital care management, or home care services
care manager role preferred.
Registered Nurse Case Manager hired into the case management
department with limited experience in a hospital- based clinical
case management program may participate in an orientation,
education and departmental preceptorship program.
Current Florida RN license; BLS-American Heart Association
Graduate of an accredited School of Nursing
Excellent knowledge of the denial/appeal process, Governmental and
Third party payers audit processes.
Knowledge of medical necessity monitoring tools- InterQual,
Milliman Care Guidelines (MCG), principles of Managed Care,
Computer applications, including but not limited to: Windows,
Outlook, Excel and Microsoft Word.
Critical thinking/problem solving skills.
The Registered Nurse-Clinical Case Manager, in collaboration with
physicians, and other interdisciplinary team members provide
patient care coordination, care planning, facilitation and
coordination of discharge needs for hospitalized patients in the
acute care setting, and or during the emergency room discharge
process. The underlying objectives are enhancing the quality of
clinical outcomes, patient satisfaction, while managing the cost of
care. The Clinical Case Manager strives to promote patient wellness
through evidenced based practice, improved care outcomes, efficient
utilization of health services, and appropriate level of care for
patients during hospitalization and on a continuum after
This facility is an equal opportunity employer and complies with
federal, state and local anti-discrimination laws, regulations and
Keywords: AdventHealth, Jacksonville , Registered Nurse Clinical Case Manager - PRN - Days AdventHealth - Saint Augustine, FL, Healthcare , Saint Augustine, Florida
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