All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Student Loan Repayment Program
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support
• Pet Insurance*
• Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
• Sign-on Bonus*

* Nursing or BU specific benefits and perks

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

The community you’ll be caring for: AdventHealth Dade City

Location Address: 13100 Fort King Rd, Dade City, FL 33525

Top Reasons to Work at AdventHealth Dade City:

• Accredited Chest Pain Center with PCI & Resuscitation (American College of Cardiology)
• Accredited as a Comprehensive Bariatric Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP)
• Primary Stroke Center Designation (AHCA)
• Leapfrog Safety Grade A, Fall 2020
• Blue Distinction® Center for Bariatric Surgery (Blue Cross Blue Shield)
• UnitedHealthcare Bariatric Center of Excellence (United Healthcare)
• Lifestyle activities and community growth
• Close proximity to many of Florida’s finest beaches
• An abundance of family attractions (Orlando & Tampa theme parks)
• Access to arts, culture and music
• Premium shopping outlets

The role you’ll contribute:

The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care.  The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations.  The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of a transition of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient.  The RN Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management.  The RN Care Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role.  The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement.  The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination.  The RN Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following:  Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based Organizations. The RN Care Manager adheres to departmental and system goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team:

• Utilizes Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and procedures. Interviews patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial Evaluation.
• Reviews necessary patient information including labs, medications (Pre and post hospital), History and Physical, Therapy notes, ED notes, test results and progress notes.
• Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary team.
• Incorporate clinical, social and financial factors into the transition of care plan.
• Meets with patient/families to discuss realistic and appropriate discharge options and providers of post-hospital care. 
• Incorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patient

The expertise and experiences you’ll need to succeed:

Minimum qualifications:

• Associates Degree Nursing
• Registered Nurse (RN)
• Two (2) years of medical/hospital nursing experience

Preferred qualifications: 

• ACM/CCM Certification
• Process and Outcome data analysis skills
• Critical thinking and problem-solving skills
• Ability to manage multiple tasks and prioritize levels of importance
• Customer service skills
• Ability to work and communicate with people of all social, economic, and cultural backgrounds; be flexible, open-minded and adaptable to change
• Effective organizational skills
• Computer proficiency with Outlook e-mail and electronic medical records
• Flexible in a complex and changing healthcare environmentUnderstanding of pre-acute and post-acute venues of care and post-acute community resources
• Maintains a current working knowledge of services available in the local community, particularly services available to patients with limited or non-existent payment resources
• Strong interview, assessment, and organizational skills
• Knowledge of community resources and post-acute care programs across the continuum
• Knowledge of clinical and social factors that affect the patient’s functional status at discharge
• Knowledge of CMS Conditions of Participation for Discharge Planning