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Posted: 11-Apr-25
Location: Oviedo, Florida
Categories:
Internal Number: 25013672
Nurse Care Manager – AdventHealth Ventures
All the benefits and perks you need for you and your family:
- Benefits from Day One
- Paid Days Off from Day One
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
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.
Schedule: Full Time
Shift: M-F 7:45am - 5:00pm
Location: 1665 W BROADWAY ST, Oviedo, 32765
The role you’ll contribute:
AdventHealth Well 65 is looking for team members with a passion to transform health care and make a difference in the lives of seniors. AdventHealth Well 65 is an innovative primary care practice delivering comprehensive, high quality, team-based care for our members and their families. Our relationship-based care model is designed to provide coordinated health care through a curated network that improves the quality and outcomes in the communities we serve. Our member-centered approach focuses on individualized care to meet the unique needs of our members and is supported by our dedicated care team of primary care physicians, health coaches, nurses and an array of specialized services. We strive for clinical excellence and aim to increase quality, increase patient satisfaction and reduce unnecessary utilization of health care resources. AdventHealth Well 65 is creating a new connection around how whole-person care is delivered to better meet the full spectrum of health care needs in this senior population. AdventHealth Well 65 is looking for a Registered Nurse to be responsible for achieving and leading a high-quality care experience for the member throughout the health care system. The Registered Nurse serves as an advocate for the member and builds trusting relationships with the members' families and care givers to manage the member's care plan. The Registered Nurse supports care team decision making and partners with primary care physicians, specialists, social workers and other care providers to develop care plans and coordinates members to the appropriate/least constrictive level of care. The Registered Nurse ensures continuous excellence by strictly adhering to departmental goals/objectives, performance standards and compliance with policies and procedures. The Registered Nurse is an important part of AdventHealth Well 65 success to deliver accessible, high-touch primary care and coordinated care for Well 65 members.
The value you’ll bring to the team:
- Performs Care management services for advancing risk and high-risk individuals utilizing appropriate chronic disease care plans in the EMR
- Assesses patients’ needs and provides in depth education to patients for chronic disease management
- May perform home visits or travel to other Well 65 practices to see patients in person and travel time can occur 25%-50% of the time.
- Mobilizes resources in coordination with team members to achieve expected goals per the patient’s plan of care and ensures that patient diagnostics are appropriate, necessary and completed.
- Leads multidisciplinary team meetings for review of the patient’s plan of care, collaborating with Providers and care team members to address patient needs and desired outcomes complying with all associated regulatory requirements and policies.
- Collaborates with the Care team and Social Worker when members and their families need counseling or other social needs and/or resources.as determined by use of social determinants of health and assessments
- Monitors hospitalized members and reports out at daily team huddle.
- Completes Transition of Care calls to members within 48 hours of a hospital discharge, and schedules follow up appointments within 5 business days of discharge.
- Provides feedback to the multi-disciplinary team as necessary regarding the trending of any issues identified and collaboratively works to develop action plans to improve processes.
The expertise and experiences you’ll need to succeed:
Minimum qualifications:
- Graduate from an accredited school of nursing
- Registered Nurse - State Licensure and/or Compact State Licensure
- Basic Life Support
- Cardiac Pulmonary Resuscitation
Preferred qualifications:
- BSN or MSN degree
- Care Management experience
