AdventHealth Case Manager LTAC Full Time Days in Land O' Lakes, Florida
" Case Manager LTAC Full Time Day " AdventHealth SC Connerton
Location Address: 9441 Health Center Drive Land O' Lakes, Florida 34637
Top Reasons To Work At AdventHealth SC Connerton
Specialty hospital for medically complex patients
Pulmonary and Vapotherm Center of Excellence
Staff consists of all Registered Respiratory Therapist, 65% BSN or above RN’s, Current staff certifications include CCRN, PCCN, CNML, WCNC, NEA-BC, and RN-BC
Onsite BSN completion program partnership with South University with staff discounted rate
Simulation Lab and Clinical Transition Pilot Program
Full Time days
You Will Be Responsible For:
Contributes to patient satisfaction scores meet organizational goals, HCAHPS Discharge Planning question percentile target score.
Plans the patient discharge upon admission guiding the patient and family using expected DRG timeframes and appropriate and safe discharge to next level of care.
Demonstrates leadership and initiative in all daily activities. Provides professional example for staff in attitude, support of facility goals, and guest relations. Maintains a high level of case management expertise.
Consider factors related to patient safety, effectiveness, cost and impact on practice in the delivery of Case Management services.
Assesses appropriateness of setting as indicated for medical necessity according to the approved InterQual ISD criteria and that initial and concurrent clinical reviews contain needed elements to sufficiently support continued stay.
Utilizes InterQual®ISD & or Milliman criteria to ensure appropriate level of care settings.
Revises Billing and Reimbursement forms and scans to EMR based on patient level of care changes.
Assures medical necessity review criteria, as mandated by the QIO, is implemented for all admissions and continued stays. Assures thorough and timely completion of utilization review and non-Medicare utilization.
Attends IDT meetings as scheduled.
Schedules out of facility patient tests and treatments and arranges ambulance
Performs other duties as assigned.
What You Will Need:
Graduate of an accredited School of Nursing (RN), Specific Degree/Major: Nursing
Minimum of One year experience in Case Management in an acute care environment.
Current license of registered nurse in Florida or licensure from another state with verification application of eligibility for Florida licensure by endorsement
PREFERRED EDUCATION AND EXPERIENCE:
Greater than Three years experience.
Any combination of education, training or experience that provides the knowledge, skills and abilities required to successfully accomplish the assigned duties and responsibilities of the position.
Specific experience in Case Management and discharge planning.
Working knowledge of the insurance industry and government reimbursement for healthcare settings.
Basic Life Support (BLS) Certification
Certification in Case Management (CCM)
The Case Manager is accountable for the organization, sequence of services and resources that are necessary and appropriate for the achievement of patient care outcomes within effective time frames on a specific group of patients. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. The Case Manager reports to the CEO and Lead Case Manager. In addition, the Case Manager will coordinate the plan of care among all members of the health care team. The Case Manager must have the professional ability to practice under minimal supervision and perform the following seven essential activities of Case Management: Appropriateness of Setting, Assessment, Planning, Implementation, Coordination, Monitoring and Evaluation , with emphasis on decreasing length of stay and monitoring cost effective health care across the continuum of care. The Case Manager must complete all initial admission assessments within 24 hours of inpatient admission and match the patient’s ongoing needs with the appropriate level and type of medical, health, psychosocial, or social service as they relate across the continuum of care.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.