Top Reasons To Work At AdventHealth Hendersonville
Join a family of cregivers who provide whole person care; body, mind, spirit, to people living in communities accross Western North Carolina.
AdventHealth Hendersonville offers the uncommon compassion of a hometown commnity hospital powered by the support of a national health care system enabling it to provide services, technologies, and facilities to meet the whole health needs of our communities.
Faith based organization that extends Christ's healing ministry to every person, every time.
Co-workers who feel like family and together deliver on our Service Standards of Keep Me Safe, Love Me, Make it Easy and Own it.
As a part of the more than 1,100 team members who make up AdventHealth Hendersonville, you will enjoy competitive salaries, exceptional benefits and opportunities for growth and leadership development.
Part time days, 20 hours per week. Two 10 hour shifts a weekend rotation. (one weekend per month)
You Will Be Responsible For:
Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and procedures. Interviews patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial Evaluation.
Reviews necssary patient information including labs, medications (pre and post hospital), history and Physical, Therapy notes, ED notes, test results and progress notes.
lncorporates the patient/family care goals and preferances as much as possible into the transition of care plannning and communicates these goals and preferances to the multidisciplinary team.
Incorporate clinical, social and financial factors into the transistsion of care plan.
Meets with patient/families to discuss realistic and appropriate discharge options and providers of post-hospital care.
Incorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patient.
Collaborates with the multidisciplinary healthcare team daily in multidisciplinary rounds to efficiently communicate and facilitate high quality patient progression of care and trasition plans.
Consults Social Work for specialty services related to psychosocial needs, decision making needs for patients who lack capacity, patient/family adjustment needs and psychosocially complex cases.
Ensures patient notifications are provided and documented in a timely manner for compliance; Important Medicare Letters (IML), Mdicare Outpataient Observation Notice (MOON), Patient Choice and Beneficiary Notice Letter (BNL).
Ensures primary care physician identification and scheduling of follow-up PCP and specialist appointments for post-hospital follow up care.
Other duties as assigned
What You Will Need
Associates Degree in Nursing required
RN License required
Two years of medical/hospital nurisng experience required
Computer proficiency with Outlook e-mail and electronic medical records
The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources minitoring, and clinical care escalations. The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of a transition of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The RN Care Manager is responsible for optimal patient flow/throughout to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management. The RN Care Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role. The RN Care Manager familitates the collaborataive managemet of patient care accross the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement. The RN Care Manager provides education to nurses, physicians, and the interdisciplinary team on issures related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. The RN Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based Organizations. The RN Care Manager adheres to departmental and system goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.