Care Manager LPN at Community Health System

Crestview, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Jul, 26

Salary

0.0

Posted On

23 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Utilization management, Discharge planning, Patient care coordination, Medical record review, Interdisciplinary collaboration, Clinical nursing, Electronic medical records, Time management, Communication skills, Care planning, Documentation, Case management

Industry

Hospitals and Health Care

Description

As a Licensed Practical Nurse at North Okaloosa Medical Center, you’ll play a vital role in doing what you do best - providing quality care to our patients. Our nurses enjoy a robust benefits package including health insurance, 401(k), flexible scheduling, 100% licensure/certification reimbursement, Tuition Reimbursement, and up to $20K for student loan payments. * Experienced full time LPN Care Manager with weekend rotation Job Summary The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves reviewing medical records for appropriateness and necessity, collaborating with interdisciplinary teams, and facilitating safe and timely transitions of care in compliance with federal, state, and accreditation standards. Essential Functions * Conducts daily reviews of medical records to assess the appropriateness, medical necessity, and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. * Identifies avoidable hospital days and communicates findings effectively to the UM committee and interdisciplinary teams. * Coordinates discharge planning activities, including arranging post-hospital placements and collaborating with patients, families, and physicians to ensure continuity of care. * Maintains professional relationships with community agencies and resources to facilitate referrals and support patient transitions. * Assists in facilitating interdisciplinary meetings, presenting relevant information, and supporting collaborative care planning. * Ensures accurate and timely documentation of utilization review, discharge planning activities, and patient interactions in accordance with organizational policies. * Identifies and appropriately reports cases to Child/Adult Protective Services as required by legal and ethical guidelines. * Participates in the development, implementation, and evaluation of utilization management and discharge planning programs to enhance care delivery and compliance. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. Qualifications * 2-4 years of clinical nursing experience required * Experience in utilization review, case management, or discharge planning preferred Knowledge, Skills and Abilities * Strong understanding of utilization management principles, discharge planning, and transitions of care. * Knowledge of federal, state, and accreditation standards related to case management and patient care. * Excellent communication and interpersonal skills to collaborate with interdisciplinary teams and community resources. * Organizational and time management skills to prioritize tasks and meet deadlines in a dynamic environment. * Proficiency in electronic medical records (EMR) systems and documentation processes. * Ability to assess complex situations, identify solutions, and implement effective care plans. Licenses and Certifications * LPN - Licensed Practical Nurse - State Licensure required * BCLS - Basic Life Support required State Specific Requirements * New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred. At North Okaloosa Medical Center, we believe in providing convenient care in a comfortable setting. With the help of more than 600 employees, 150 physicians on staff and more than $12 million of recent capital upgrades and renovations, we have created a caring place where clinical expertise and advanced technology blend seamlessly with sincerity and compassion. We pride ourselves on our unique dedication to the community hospital experience. While we believe it’s vital to stay up to date with technology, we will never lose sight of what’s truly important – the human interaction that is crucial to providing quality care. Our goal is to anticipate the needs and exceed the expectations of our patients and their families, ALWAYS. North Okaloosa Medical Center stands ready to meet the healthcare needs of the region. We are very proud of the services we provide and it is our goal to make you proud to choose North Okaloosa Medical Center.

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Responsibilities

The Care Manager supports utilization management and discharge planning by coordinating patient care activities and reviewing medical records for necessity. They collaborate with interdisciplinary teams to facilitate safe transitions of care and ensure compliance with organizational and regulatory standards.