Job Description - Quality Review Nurse RN PRN Home Care (24034998)
Quality Review Nurse RN PRN Home Care (
Job Number:
24034998 )
Description
All the benefits and perks you need for you and your family:
- 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
Location: Remote
The role you’ll contribute:
The Population Health Case Manager (PHCM) ensures effective utilization and case management oversight activities as defined by inter professional best practices, agency policies/processes. Ensures clear and appropriate visit utilization using evidence-based and best practice guidelines to achieve positive clinical outcomes and efficient use of resources. Identifies and collaborates with clinical supervisor on feedback and coaching opportunities of clinical colleagues. Works under supervision of Department Manager.
The value you’ll bring to the team:
- Evaluates visits per episode for the optimal utilization that results in the best possible clinical outcomes and efficient use of resources.
- Analyzes utilization to ensure visits are made according to episode utilization guidelines and clinical outcomes best practices.
- Develops/revises utilization policies and practices based on analysis of past practices to improve utilization.
- Collaborates with colleagues, and field clinicians to achieve strategic aims, top decile outcomes and patient satisfaction.
- Mentors colleagues and encourages implementation of best practice guidelines.
- Determine patient risk for rehospitalization and appropriate care pathway.
- Evaluate the need for virtual technology.
- Develop plan of care (POC) and visit frequency and spacing.
- Identify appropriate services to meet desired clinical and fiduciary outcomes and obtains physician orders if indicated.
Qualifications
The expertise and experiences you’ll need to succeed:
EDUCATION AND EXPERIENCE REQUIRED:
- Associate Degree in Nursing
- Bachelor's degree preferred
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
- Registered Nurse in the state of Florida
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