Care Management RN

Position Overview

Advent Health is seeking a Registered Nurse (RN) to provide discharge planning and care coordination for admitted patients. The RN will participate in multidisciplinary rounds, communicate with patients and families, and develop comprehensive discharge plans.

• Participate in multidisciplinary rounds to review patient status changes, progression, and discharge planning.
• Communicate and educate patients and families about emotional, social, and financial impacts of illness; mobilize community resources.
• Assess readmitted patients to identify perceived reasons for readmission.
• Organize and facilitate patient and family care conferences with multidisciplinary teams.
• Document discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers, avoidable days, and patient/family needs per standard work.
• Communicate with payors regarding authorization for post‑acute care.
• Assess patients and families holistically for discharge planning needs across inpatient, observation, and emergency settings.
• Review medical record and incorporate clinical, social, and financial factors into the transition of care plan.
• Develop discharge plans with contingency plans, coordinate post‑acute care services and community social needs.
• Leverage technology and standard best practices to ensure continuity of care and accurate discharge reconciliation.
• Perform other duties as assigned.

• Leadership skills
• Process and outcome data analysis skills
• Critical thinking and problem‑solving skills
• Ability to manage multiple tasks and prioritize levels of importance
• Customer service skills
• Ability to communicate with people of all social, economic, and cultural backgrounds; flexible, open‑minded, and adaptable
• Effective organizational skills
• Computer proficiency with Outlook e‑mail and electronic medical records
• Flexibility in a complex and changing healthcare environment
• Knowledge of community resources and post‑acute care programs across the continuum
• Knowledge of clinical and social factors that affect the patient's functional status at discharge
• Knowledge of CMS Conditions of Participation for Discharge Planning
• Conflict management and resolution skills
• Teamwork principles

• Associates of Nursing (Required)
• Bachelors of Nursing (Preferred)
• 2+ years medical/hospital nursing experience (Required)
• Prior Care Management/Utilization Management experience (Preferred)

Registered Nurse (RN) – Required

Basic Life Support (BLS) – Preferred

Certified Case Manager (CCM) – Preferred

Accredited Case Manager (ACM) – Preferred

Physical requirements:

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$32.76 - $57.47 per hour.

Benefits from day one include medical, dental, vision, life, disability insurance; paid time off; 403‑B retirement plan; 4 weeks 100% paid parental leave; career development; whole person well‑being resources; mental health resources and support; and pet benefits.

Full‑time (Day‑Weekend) – 60 Memorial Medical Pkwy, Palm Coast, FL 32164.

Advent Health is an equal‑opportunity employer and complies with federal, state and local anti‑discrimination laws, regulations and ordinances.