Career Center
Durham, North Carolina
Meridian, Idaho
Posted: 17-May-23
Location: Calhoun, Georgia
Salary: Open
Categories:
Internal Number: 23017084
Description
All the benefits and perks you need for you and your family:
· Benefits from Day One
· Paid Days Off from Day One
· Career Development
· Whole person Well-being Resources
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.
Schedule: Full-time
Shift: 8:00am-4:30pm
The role you’ll contribute:
The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the
interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care. The RN
Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care
escalations. The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager and
is responsible for patient evaluations of post-hospital needs; development of a transition of care plans and initiation of the
implementation of the transitions of care plans prior to the discharge of the patient.
The value you’ll bring to the team:
· Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission
and documents according to policies and procedures. Interviews patient and involved care givers (as permitted by the
patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial Evaluation.
â—Reviews necessary patient information including labs, medications (Pre and post hospital), History and Physical,
Therapy notes, ED notes, test results and progress notes.
â—Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning and
communicates these goals and preferences to the multidisciplinary team.
â—Incorporate clinical, social and financial factors into the transition of care plan.
â—Meets with patient/families to discuss realistic and appropriate discharge options and providers of post-hospital care.
â—Incorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to
meet the individual needs of each patient
â—Identifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to
transition of care plan achievement.
â—Collaborates with the multidisciplinary healthcare team daily in multidisciplinary rounds to efficiently communicate
and facilitate high quality patient progression of care and transitions plans.
â—Evaluates the potential for readmissions throughout the patient stay through the monitoring of each patient's
readmission risk scores and coordinating readmission mitigation interventions.
Qualifications
The expertise and experiences you’ll need to succeed:
- ASN or RN Diploma Degree required; BSN preferred
- Two years acute care experience required; CM experience preferred
- Current GA RN license
