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