Director of Care Management RN Lake Nona

Director of Care Management RN Lake Nona

AdventHealth will bring a 60-acre health and wellness campus to Lake Nona in late 2026. This location will offer medical innovations on a campus designed around whole person health with comprehensive services, destination lifestyle programs, and much more that will shape the next generation of health care. We are proud to be a part of the growing Lake Nona community with an established comprehensive network of care. Our services include emergency services, urgent care, a wide range of medical specialists (including primary care), lab, imaging, orthopedics, sports medicine and rehabilitation.

Schedule: Full Time

Shift: Days

Oversees the departments recruitment and retention activities, taking action to ensure adequate staff and leadership in care management.

Actively engages with post-acute care entities to improve patient care transitions and decrease readmissions.

Leverages and leads technology change management to improve staff efficiencies, drive positive patient outcomes, and maximize the tools care managers utilize to perform their roles.

Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services. Ensures compliance with CMS CoPs for Discharge Planning as well as related federal and state regulations.

Responsible to participate in Corporate Care Management meetings, cascade information, and implement strategies with standard work and processes.

Develops and oversees the implementation and compliance with Care Management policies and standard operating procedures.

Collaborates with interdisciplinary hospital leaders and executives to achieve organizational goals.

Develops and meets operational budget performance with oversight to assure capital and fiscal accountability.

Partners with Utilization Management for the Utilization Review Committee as well as day-to-day operations.

Identifies improvement opportunities and develops, implements, and monitors action plans.

Educates and mentors facility Care Management staff and the interdisciplinary teams on data, outcomes, and opportunities.

Performs other duties as assigned

Knowledge, Skills, and Abilities:

Understanding of medical necessity for appropriate patient status and level of care

Understanding of Care Management best practices

Ability to research and reason best practices to support process improvement

Strong verbal and electronic communication skills

Ability to analyze, evaluate and monitor data in addition to provide action plans

Supports positive employee relations and customer experience

Understanding of Microsoft Office Products and other appropriate software platforms

Understanding of CMS Conditions of Participation for Discharge Planning

Understanding of Managed Care and Value Based Programs

Ability to work autonomously with self-direction

Ability to work as a collaborative partner of a diverse leadership team

Ability to lead and sustain change

Knowledge of change management principles, methodologies, and tools [Required]

Sustained goals of Care Management metrics, voice of the customer experience, employee engagement, and quality outcome viability of a Care Management program [Preferred]

Education:

Bachelor's in Nursing [Required]

Master's in Nursing [Preferred]

Work Experience:

5+ direct care management experience [Required]

3+ care management leadership experience [Required]

2+ frontline nursing experience [Required]

Licenses and Certifications:

Registered Nurse (RN) [Required]

Accredited Case Manager (ACM) [Preferred]

Certified Case Manager (CCM) [Preferred]

Pay Range: $94,083.61 $175,003.55

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.