Director of Care Management RN Lake Nona
$94.08k - $175kAdventHealth
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:
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]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - 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. Create a Job Match for Similar Jobs
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
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]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - 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. 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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