Registered Nurse Case Management RN-Ed/Obs FT Days

Care Manager, RN – ED/Observation - AdventHealth Kissimmee

Location Address: 2450 Orange Blossom Trail

Top Reasons to work at AdventHealth Kissimmee

•  AdventHealth Kissimmee is an 83-bed community-focused hospital
• Conveniently located near Walt Disney World
• The team here is dedicated to bringing mission-focused, faith-based care to residents and visitors of Osceola and Orange Counties
• AdventHealth Kissimmee has recently expanded to include a new medical office building, patient tower, and new main entrance

Virtual Tour: https://visit360five.com/start.php?id=14216310

Work Hours/Shift:

• Full Time Days

You Will Be Responsible For:  

• Uses established medical necessity criteria as described by policy to conduct screening for medically appropriate admissions. Escalates cases as appropriate to Care Management Director/Manager.  Utilizes information obtained from information systems to accurately assess patient clinical needs and treatment if available and appropriate.
• Provides updates to the ED and/or Observation clinical team regarding Care Management involvement with the patient during the patient’s visit.
• Works as a resource to the ED and/or Observation clinical team as needed.
• Acts as a resource and provides staff and physician education related to resource utilization, medical necessity, and federal regulation and guidelines.
• Works with the ED and/or Observation team to achieve optimal patient flow/throughput to enhance continuity of care, smooth and safe transition, patient satisfaction, and patient safety. 
• Communicates effectively with physicians to obtain necessary information to complete all medical necessity reviews as required to prevent unnecessary delays and denials of service.