RN - Case Management Coordinator

3 weeks ago

Orlando, Florida, United States Nemours Children's Hospital Orlando Full time

Job Summary

Nemours Children's Hospital Orlando is seeking a skilled RN - Case Management Coordinator to join our team. As a Case Management Nurse, you will play a critical role in coordinating discharge planning for admitted patients, promoting patient and family-centered care, and improving outcomes.

Key Responsibilities

  • Assess new patients by gathering information, reviewing diagnoses, and analyzing medical test results to anticipate discharge needs.
  • Complete and document an initial discharge planning assessment on all inpatients upon admission, in collaboration with the Social Worker, verifying demographics and insurance.
  • Process home health orders and case management referrals for post-acute care plans timely, including home health services, durable medical equipment, home infusion therapies, appointment scheduling, and transfers to other facilities/level of care.
  • Communicate with the care team and ensure a discharge plan is confirmed, with an expected discharge date, and monitor the ongoing progression of the plan and report any resource limitations that could impact the plan.
  • Educate providers and clinical staff on the resources available for a safe discharge, including managing provider expectations.
  • Attend and actively participate in discharge planning rounds, weekly complex case reviews, and care conferences.
  • Coordinate with home care coordinator and social worker any discharge planning arrangement needs, transportation needs, letters of medical necessity, and regulatory requirement forms.
  • Participate in medication discussions and ensure patients can obtain prescriptions, assisting with obtaining resources, if appropriate.
  • Communicate directly with patients and families about the discharge plan and verify understanding/agreement of the plan prior to discharge.
  • Communicate and collaborate with Utilization Management regarding patient status, changes in plan of care, and risk for denials.
  • Identify high-risk patients through the initial admission assessment and create a collaborative plan to address their unique needs.
  • Refer self-pay patients, patients with non-par/out-of-network insurance, potential medically complex patients, or financial questions to the Financial Counselors.

Requirements

  • ASN required, BSN preferred.
  • Active Florida or multi-state RN license, required.
  • Professional certification in case management, certified managed care nurse, or area of clinical specialty, preferred.
  • Minimum of 3 years nursing experience required, related clinical experience preferred.
  • American Heart Association BLS required.

Benefits

  • Paid Time Off: Six paid holidays annually and one day of paid volunteer time off.
  • Paid Parental Leave: Six weeks of paid leave for new parents at 100% pay.
  • Tuition Reimbursement: Up to $5,250 for approved courses.

Retirement Savings Plan

  • 403(b) plan with immediate participation and matching contributions; 457(b) program for highly compensated associates.

Insurance

  • Basic Life and AD&D Insurance equal to one time annual salary, up to $500,000.
  • Disability Coverage: Short- and long-term disability coverage at 60% of salary for non-work-related disabilities.

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