Schedule: Full time
Shift:Day (United States of America)
Address:7050 GALL BLVD
City:ZEPHYRHILLS
State:Florida
Postal Code:33541
Job Description:- 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.
Knowledge, Skills, and Abilities:- Leadership skills [Required]
- Process and Outcome data analysis skills [Required]
- Critical thinking and problem-solving skills [Required]
- Ability to manage multiple tasks and prioritize levels of importance [Required]
- Customer service skills [Required]
- Ability to work and communicate with people of all social, economic, and cultural backgrounds; be flexible, open-minded and adaptable to change [Required]
- Effective organizational skills [Required]
- Computer proficiency with Outlook e-mail and electronic medical records [Required]
- Flexible in a complex and changing healthcare environment [Required]
- Knowledge of community resources and post-acute care programs across the continuum [Required]
- Knowledge of clinical and social factors that affect the patient's functional status at discharge [Required]
- Knowledge of CMS Conditions of Participation for Discharge Planning [Required]
- Conflict management and resolution skills [Required]
- Teamwork principles [Required]
Education:- Associate's of Nursing [Required]
- Bachelor's of Nursing [Preferred]
Field of Study:Work Experience:- 2+ medical/hospital nursing experience [Required]
- Prior Care Management/Utilization Management experience [Preferred]
Licenses and Certifications:- Registered Nurse (RN) [Required]
- Certified Case Manager (CCM) [Preferred]
- Accredited Case Manager (ACM) [Preferred]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/2vvwrzem
Pay Range:$32.76 - $57.47