Care Manager

2 weeks ago

Ocoee Florida, United States Orlando Health Full time
Position Summary:
Med Surg/Inpatient Acute Care Rehab Nursing

Who are we:

Commission on Accreditation of Rehabilitation Facilities (CARF International Accreditation)- more than 25 years

Specialty Rehabilitation Registered nurses – currently 68% CRRN certified

Patient population – strokes, traumatic brain injury, multiple injuries, new spinal cord injuries, gunshot wounds, amputations, burns, medical complexity, post covid patients

Awarded the Certified Registered Nurse Advocacy Award 2021 by the Association for Rehabilitation Nursing

Structured and individualized medical and therapy care

State of the art therapy equipment for state-of-the-art care

What do we do:

Impacting lives of patients and families in the most challenging and life changing times of their lives

True interdisciplinary care and teamwork with strong nursing and therapy patient centered collaborative care

Acute medical care by specialty nurses

Three hours of therapy by acute care PT, OT, ST

Team consists of Physical medicine and Rehab MD’s, RN, NA, PT, OT, ST, Neuropsychology doctors, rec therapy, social workers, case management, admission liaisons, and dieticians come together weekly for team conference for collaborative team care

Specialty education for nursing and therapy

 

Promotes and facilitates effective management of hospital resources from admission to discharge, collaborating with the assigned clinical team to identify patient most likely to benefit from care coordination services to include assessing patients’ risk factors and the need for care coordination, clinical utilization management and the transition to the next appropriate level of care.

Responsibilities:
Essential Functions
• Initially and concurrently assesses all patients within assigned population to include, but not limited to:
o Accurate medical necessity screening and submission for Physician Advisor review
o Care coordination that includes admitting diagnosis/ medical history, current treatments, age, payment source, resources,
support systems, anticipated needs, expected length of stay, appropriate level of service, special/ personal needs, and other
relevant information.
o Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning
as appropriate through assessment and reassessment and the application of InterQual guidelines.
o Leading and facilitating multi-disciplinary patient care conferences
o Managing concurrent disputes
o Making appropriate referrals to other departments
o Identifying and referring complex patients to Social Work Services
o Communicating with patients and families about the plan of care
o Leading and facilitating Complex Case Review
o Identification and documentation of potentially avoidable days
o Identification and reporting over and underutilization
• Ensures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for
Managed Contracts, Medicare, Medicaid and Campus related to admission and continued stay approval.
• Adheres to Utilization Management Plan.
• Integrates National standards for care management scope of services including:
o Utilization Management supporting medical necessity and denial prevention
o Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
o Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and appropriate level
of care
o Education provided to physicians, patients, families and caregivers

Qualifications:
Education/Training
• Graduate of an approved school of nursing.

Licensure/Certification
• Maintains current Florida RN license and BLS/Healthcare Provider certification are required.
• BLS/Healthcare Provider Certification within 90 days of hire.

Experience
Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care.

  • Care Manager

    2 weeks ago

    Ocoee, United States Orlando Health Full time

    Position Summary Med Surg/Inpatient Acute Care Rehab Nursing Who are we: Commission on Accreditation of Rehabilitation Facilities (CARF International Accreditation)- more than 25 years Specialty Rehabilitation Registered nurses - currently 68% CRRN certified Patient population - strokes, traumatic brain injury, multiple injuries, new spinal cord injuries,...

  • Assistant Nurse Operations Manager

    6 days ago

    Ocoee, Florida, United States Orlando Health Full time

    Position Summary: The Assistant Nurse Operations Manager (ANOM) is responsible for the management of their designated unit/department, including nursing practice and administrative oversight of the area. In conjunction with the Unit/Department Nursing Operations Manager, the ANOM provides guidance and direction on all aspects of unit operations including...

  • Director of Social Services

    11 hours ago

    Ocoee, United States Empire Care Centers Full time

    **Join Our Team as Director of Social Services at West Orange Center for Nursing and **Healing!** **About **Us**:** West Orange Center for Nursing and Healing, located in Ocoee, FL, is seeking a passionate and dedicated Director of Social Services to join our exceptional team. As a Skilled Nursing Facility, we take pride in our outstanding employee culture...

  • Child Care Floater

    3 weeks ago

    Ocoee, United States Treasure Kids Academy Full time $29,000 - $35,360

    We are looking to hire a Child Care Floater  (NO EXPERIENCE NEEDED) IMMEDIATE HIREResponsibilities:Assist in managing the daily classroom schedule in accordance with our curriculum.Maintains an attractive, well-kept classroom that encourages children to create, explore and make decisions with confidence.Assist in keeping a safe, sanitary classroom...

  • Sterile Processing Supervisor

    6 days ago

    Ocoee, Florida, United States Orlando Health Full time

    Position Summary: Has daily responsibility for sterile processing and instrument delivery processes within the facility.   Orlando Health is one of Florida’s most comprehensive private, not-for-profit healthcare systems providing access to nearly two million Central Florida residents and has provided care for more than 4,600 international visitors...

  • Respiratory Therapist- Nights

    4 weeks ago

    Ocoee, Florida, United States Orlando Health Full time

    Position Summary: Assess, treat, and care for patients with breathing disorders. Initiate and conduct therapeutic procedures; maintain patient records; And select, assemble, check and operate equipment. Responsibilities: Essential Functions • Demonstrates competency in respiratory therapeutics and in the use of non-invasive ventilators, pulmonary...

  • RN Clinical Manager

    7 days ago

    Ocoee, United States Greater Vision Healthcare Services LLC Full time

    Job DescriptionJob DescriptionLOCAL OPPORTUNITY for a Registered Nurse (RN), with Clinical Manager experience, for a Home Health agency. Preferences: Minimum of two years' experience in home health care with leadership or management experience.Job Summary: The Clinical Manager provides oversight of all patient care services and personnel. Oversight must...

  • Environmental Technician I

    2 weeks ago

    Ocoee, Florida, United States Orlando Health Full time

    Position Summary: The Environmental Services Technician level I isresponsible for executing the daily dutiesrequired to establish and maintain a safe, clean, healing environment. Responsible for ensuring daily room cleaning and timely room turnaround times related to patient throughput within the basic principles of environmental hygiene and infection...

  • Surgical Instr Inv Specialist

    4 weeks ago

    Ocoee, Florida, United States Orlando Health Full time

    Position Summary: Knowledge of the surgical instrument inventory and all aspects of the sterilization process, including quality processes and troubleshooting of instrument delivery. Responsibilities: Demonstrates, through clinical practice, knowledge and a clear understanding of the entire instrument delivery system, including quality processes, infection...

  • Guest Services Representative

    2 weeks ago

    Ocoee, Florida, United States Orlando Health Full time

    Position Summary: Provides directions to guests/team members within the hospital system, and the Orlando area.   *This is a pool position which gurantees only 1 shift per week. Responsibilities: Essential Functions Escorts guests to their in-hospital destinations as needed. Maintains current knowledge of hospital personnel, departments and their...

  • Neurotechnologist II- Neurodiagnostics-Nights

    4 weeks ago

    Ocoee, Florida, United States Orlando Health Full time

    Position Summary: Position Summary Under the general direction of the Neurodiagnostic Manager, performs electroneurodiagnostic testing in Nerve Conductions, Electroencephalograms and Evoked Potentials. The technologist must show competencies in Electroencephalograms, and two additional modalities (Long term EEG, Ambulatory EEG, Nerve Conduction Studies,...

  • Neurotechnologist III

    4 weeks ago

    Ocoee, Florida, United States Orlando Health Full time

    Position Summary: Position Summary Under the general direction of the Neurodiagnostic Manager, the technologist performs electroneurodiagnostic testing in nerve conductions, Electroencephalograms and Evoked Potentials. The technologist must show competencies in Electroencephalograms, and 4 additional modalities (Long term monitoring, Ambulatory EEG, Nerve...

  • Home Care Coordinator

    3 weeks ago

    Tampa, Florida, United States Parx Home Health Care Full time

    RESPONSIBILITIES: ·         Understand the Electronic Visit Verification (EVV) and scheduling systems HHAeXchange, Tellus and iConnect (APD) that are used for Medicaid or Private Pay patients.. ·         Create and maintain caregiver schedules. Enter new clients and caregivers and prepare schedules according the client’s...

  • Medical Care Manager

    3 weeks ago

    Miami, Florida, United States AIDS Healthcare Foundation Full time

    WHO WE ARE: AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!   Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?   If so, AIDS...

  • Dental Receptionist @ Advanced Dental Care of Riverview

    23 hours ago

    Riverview, Florida, United States Dental Care Alliance Full time

    Overview: Advanced Dental Care is seeking a full time Dental Receptionist who wants to help our dental clinic serve our patients more efficiently and more compassionately. The ideal candidate will be friendly, outgoing and highly organized. He or she will take over all management duties for front office staff. A Dental Receptionist needs to have excellent...

  • Clinical Care Coordinator I

    4 weeks ago

    Sarasota, Florida, United States Sarasota Memorial Health Care System Full time

    Job Summary: The Clinical Care Coordinator I assists in the management of patient care in the physician office setting under the direct supervision of a physician or licensed provider. The Clinical Care Coordinator I may be a CMA, RMA or certified EMT who demonstrates competency to provide patient care according to the specific needs of the...

  • Clinical Care Coordinator I

    4 weeks ago

    Sarasota, Florida, United States Sarasota Memorial Health Care System Full time

    Job Summary: The Clinical Care Coordinator I assists in the management of patient care in the physician office setting under the direct supervision of a physician or licensed provider. The Clinical Care Coordinator I may be a CMA, RMA or certified EMT who demonstrates competency to provide patient care according to the specific needs of the...

  • Clinical Care Coordinator I

    4 weeks ago

    Sarasota, Florida, United States Sarasota Memorial Health Care System Full time

    Job Summary: The Clinical Care Coordinator I assists in the management of patient care in the physician office setting under the direct supervision of a physician or licensed provider. The Clinical Care Coordinator I may be a CMA, RMA or certified EMT who demonstrates competency to provide patient care according to the specific needs of the...

  • Clinical Care Coordinator III

    3 weeks ago

    Sarasota, Florida, United States Sarasota Memorial Health Care System Full time

    Job Summary: The Clinical Care Coordinator III demonstrate the competency to provide patient care according to the age-specific population needs and assist in the management of patient care in the physician office setting under the direct supervision of a provider. Required Qualifications: - Require Basic Life Support/CPR certification; or must be...

  • Clinical Care Coordinator III

    2 days ago

    Sarasota, Florida, United States Sarasota Memorial Health Care System Full time

    Job Summary: The Clinical Care Coordinator III demonstrate the competency to provide patient care according to the age-specific population needs and assist in the management of patient care in the physician office setting under the direct supervision of a provider. Required Qualifications: - Require Basic Life Support/CPR certification; or must be...