ED Utilization Management RN

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

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule: Full time Shift: Night (United States of America) Address: 301 MEMORIAL MEDICAL PKWY City: DAYTONA BEACH State: Florida Postal Code: 32117 Job Description:

• Monitors alerts for ED registration through the facility EMR .
• Evaluates cases for target conditions and provides support and discharge planning consultations to ED staff.
• Coordinates post-ED care and communication with primary care practices.
• Performs real-time clinical reviews for appropriate next site of care using the facility EMR.
• Contacts and follows up with the respective ED clinicians as needed.
• Provides ongoing updates depending on the patient’s condition.
• Updates case status in the EMR system.
• Maintains open communications and builds collaborative relationships with ED providers, ED staff, and primary care providers.
• Ensure patients are properly identified at the point of service throughout the care continuum.
• Assists ED staff with understanding and utilization of benefits enhancement.
• Other duties as assigned.

Knowledge, Skills, and Abilities:

• Knowledge and understanding of utilization management criteria [Required]
• Excellent analysis, problem- solving and critical thinking skills. [Required]
• Ability to use data to measure progress and achieve outcomes. [Required]
• Strong business communication skills to resolve issues and communicate with internal and external parties. [Required]
• Ability to work with little supervision [Required]
• Self-motivated [Required]
• Microsoft office suite of applications experience [Required]
• Excellent time management skills to effectively navigate in fast-paced work environment with time constraints in place [Required]
• Ability to interact effectively with providers and other health care professionals [Required]
• Strong clinical skills to evaluate severity of disease state [Required]
• Discharge planning knowledge [Required]

Education:

• Associate's of Nursing [Required]
• Bachelor's of Nursing [Preferred]

Work Experience:

• 1+ Utilization Management or Care Management experience [Preferred]
• 3+ acute care and/or emergency department experience [Required]
• 3+ years related experience [Required]

Licenses and Certifications:

• Registered Nurse (RN) [Required]
• Certified Case Manager (CCM) [Preferred]
• Accredited Case Manager (ACM) [Preferred]
• Basic Life Support (BLS) [Preferred]

Physical Requirements: (Please click the link below to view work requirements)

• Physical Requirements -

Pay Range: $32.76 - $57.47 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 :
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Create a Job Match for Similar Jobs

At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. More than 100,000 skilled and compassionate caregivers in physician practices, hospitals, outpatient clinics, skilled nursing facilities, home health agencies and hospice centers provide individualized, wholistic care.Our Christian mission, shared vision, common values and focus on whole-person health is our commitment to making communities healthier with a unified system: 51 hospital campuses and hundreds of care sites in diverse markets throughout nine states.

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