Schedule: Full time
Shift: Day (United States of America)
Address: 2450 N ORANGE BLOSSOM TRL
City: KISSIMMEE
State: Florida
Postal Code: 34744
Job Description: - Oversees the team's utilization of technology and adherence to standard work to develop and implement effective discharge plans in collaboration with patients, families, care teams, and payors.
- Participates in the hiring, onboarding, education, and retention of staff.
- Participates in hospital meetings and initiatives to improve the consumer experience and achieve organizational goals.
- Coordinates and leads family and care team meetings as needed.
- Monitors for process improvement opportunities and participates in performance improvement initiatives and reports quality/risk issues to appropriate parties.
- Collaborates and problem solves with outside agencies to facilitate patient transitions to post-acute settings.
- Manages daily operations of the care management department in the Inpatient,
- Observation, and Emergency Department settings. Collaborates with the management team to create and implement strategies to decrease length of stay, reduce avoidable readmissions, and enhance customer experience.
- Leverages dashboards and reports to monitor staff compliance with documentation and regulation requirements.
- Actively participates in daily multidisciplinary rounds and ensures staff participation to discuss patient transitions with cross functional teams and address barriers to discharge plans.
- Educates and coaches staff to ensure timely and accurate documentation of patient evaluations, discharge plans, and regulatory requirements.
- Leads the interdisciplinary team to address discharge barriers and escalates care delays to ensure timely transitions.
- Leads staff meetings and ensures staff participation in process improvements, assuring the frontline voice is heard.
- Performs other duties as assigned.
Knowledge, Skills, and Abilities: • Understanding of core Care Management principles and CMS Conditions of Participation [Required]• Knowledge of medical necessity for appropriate patient status and level of care [Required]• Understanding and ability to implement mitigation techniques to attain hospital metrics [Required]• Ability to analyze, evaluate, and monitor data [Required]• Ability to foster positive Interdisciplinary Team relations and encourage employee engagement [Required]• Strong professional verbal and electronic communication [Required]• Ability to work independently and/or part of a team [Required]• Strong technology skills Required; including working knowledge of Microsoft PowerPoint Preferred and intermediate knowledge of Microsoft Excel [Preferred]• Understanding of Managed Care and Value Based Programs [Required]• Ability to negotiate optimal resolution of issues [Required]• Ability to communicate effectively with diverse populations [Required]• Interpersonal skills that promote teamwork [Required]• Critical thinking/problem solving skills [Required]• Knowledge of and ability to utilize in-house and external resources [Required]• Flexibility in prioritization [Required]• Ability to multitask and function in a stressful, fast-paced environment [Required]• Comprehensive understanding of current healthcare issues [Required]• Outstanding clinical skills, leadership ability, organizational skills [Required]• Ability to promote LOS and capacity management, discharge planning, social work, and utilization management in the hospital and the community [Required]• Front line experience with surveyors [Preferred]• Knowledge of change management principles, methodologies, and tools [Preferred]
Education: • Bachelor's in Nursing [Required]• Master's [Preferred]
Field of Study: • Master's in related field preferred
Work Experience: • 4+ Experience in care management [Required]
• 2+ Experience in front line nursing [Required]
• Inpatient Care Management experience [Preferred]
• Nursing Leadership experience [Preferred]
Licenses and Certifications: • Registered Nurse (RN) [Required]
• Accredited Case Manager (ACM) [Preferred]• Certified Case Manager (CCM) [Preferred]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/msy4mja2
Pay Range:$85,529.67 - $159,089.69
Background Screening Requirement (Florida Law) Certain positions are subject to
Florida Level 2 background screening, including fingerprinting, as required by state law.
Applicants may review general information about Florida's background screening requirements at the
Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/