ED Utilization Management RN

AdventHealth

Ormond Beach, FL

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JOB DETAILS

SALARY

$32.76–$57.47 Per Hour

SKILLS

Acute Care, Analysis Skills, Career Development, Certified Case Manager (CCM), Clinical Assessment, Clinical Competency, Clinical Validation, Communication Skills, Dental Insurance, Disability Insurance, Discharge Plans, Disease, Electronic Medical Records, Emergency Care, Experience Modifier Rate (EMR), Healthcare Providers, Legal, Life Insurance, Microsoft Office, Nursing, Physical Demands, Primary Care, Problem Solving Skills, Psychiatry and Mental Health, Registered Nurse (RN), Regulations, Retirement Plan, State Laws and Regulations, Team Player, Utilization Management, Vision Plan

LOCATION

Ormond Beach, FL

POSTED

30 days ago

**Our promise to you:** Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Night (United States of America) **Address:** 770 W Granada Blvd **City:** Ormond Beach **State:** Florida **Postal Code:** 32174 **Job Description:** • Monitors alerts for ED registration through the facility EMR. • Evaluates cases for target conditions and provides support and discharge planning consultations to ED staff. • Coordinates post-ED care and communication with primary care practices. • Performs real-time clinical reviews for appropriate next site of care using the facility EMR. • Contacts and follows up with the respective ED clinicians as needed. • Provides ongoing updates depending on the patient’s condition. • Updates case status in the EMR system. • Maintains open communications and builds collaborative relationships with ED providers, ED staff, and primary care providers. • Ensure patients are properly identified at the point of service throughout the care continuum. • Assists ED staff with understanding and utilization of benefits enhancement. • Other duties as assigned. **Knowledge, Skills, and Abilities:** • Knowledge and understanding of utilization management criteria [Required] • Excellent analysis, problem- solving and critical thinking skills. [Required] • Ability to use data to measure progress and achieve outcomes. [Required] • Strong business communication skills to resolve issues and communicate with internal and external parties. [Required] • Ability to work with little supervision [Required] • Self-motivated [Required] • Microsoft office suite of applications experience [Required] • Excellent time management skills to effectively navigate in fast-paced work environment with time constraints in place [Required] • Ability to interact effectively with providers and other health care professionals [Required] • Strong clinical skills to evaluate severity of disease state [Required] • Discharge planning knowledge [Required] **Education:** • Associate's of Nursing [Required] • Bachelor's of Nursing [Preferred] **Field of Study:** • N/A **Work Experience:** • 1+ Utilization Management or Care Management experience [Preferred] • 3+ acute care and/or emergency department experience [Required] • 3+ years related experience [Required] **Additional Information:** • N/A **Licenses and Certifications:** • Registered Nurse (RN) [Required] • Certified Case Manager (CCM) [Preferred] • Accredited Case Manager (ACM) [Preferred] **Physical Requirements:** _(Please click the link below to view work requirements)_ Physical Requirements - https://tinyurl.com/msy4mja2 **Pay Range:** $32.76 - $57.47 **Background Screening Requirement (Florida Law)** Certain positions are subject to **Florida Level 2 background screening** , including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the **Florida Care Provider Background Screening Clearinghouse** : https://info.flclearinghouse.com/ _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Registered Nurse **Organization:** AdventHealth Corporate **Schedule:** Full time **Shift:** Night **Req ID:** 152570758

ED Utilization Management RN

AdventHealth

Ormond Beach, FL

About the Company

AdventHealth

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