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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** : Days

**Location:** 900 WINDERLEY PL, Maitland, 32751

**The community you’ll be caring for:** AdventHealth Orlando

+ Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando

+ Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America

+ AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country

+ We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year

The role you’ll contribute:

Under minimal supervision and reporting to the Executive Director of Care Setting, the Market Director Care Management develops and coordinates implementation of complex hospital operational strategies and length of stay management, involving physicians and multiple hospital departments, to assure appropriate utilization of hospital resources, appropriate level of care for patients, and appropriate discharge planning. Responsible for assuring appropriateness of patient admissions based on severity of illness/intensity of service criteria. Facilitates case reviews based on medical screening criteria to ensure optimum reimbursement. Responsible for case management, social worker/discharge planning processes and length of stay management for all AdventHealth CFD South Care Management business units. Leads and directs Campus and Market Care Management Directors to achieve positive care management outcomes. Responsible for building and maintaining positive working relationships with medical staff, external agencies (ECF's, sub-acute facilities, Home Care, Hospice). Provide direct oversight of Care Management billing reconciliation and accounts payable. Responsible for on-going operations, short- term and long-term planning and development of the outcome's management service area of Care Management. Responsible for overseeing research, development, and implementation of educational materials and training, responsible for designing integrated leadership development programs to drive growth and accountability across the Care Management Department through the Central Florida Region. Oversees Care Management CMS and regulatory compliance. Develops and implements state-of-the-art performance improvement and outcomes management programs that enhance the operational, financial, and clinical performance of the organization. Implements and oversees the maintenance and use of databases and systems for measuring, monitoring, and tracking utilization and performance changes. Works closely with physicians and the campus leadership team on utilization/case management issues. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team:

+ Contributes to the design and development of Care Management programs in coordination with hospital, division, and corporate leadership.

+ Oversees and maintains accountability for compliance with all regulatory standards and requirements

+ Plans department's clinical services and operations including review of tracking and trending data to assess need for performance improvement targeting the requirements of all stakeholders.

+ Assures that policies and procedures are reflective of current practice for all direct report departments including Campus and Market Care Management Directors.

Qualifications

The expertise and experiences you’ll need to succeed** **:

+ Bachelor's in Nursing Required

+ Master's in Nursing, Business, or health-related field Preferred

+ 5 acute care hospital clinical experience Required

+ 5 progressive care management leadership experience Required

+ Previous case management, utilization management, or related discipline experience Required

+ RN - Registered Nurse - State Licensure and/or Compact State Licensure Florida

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

**Category:** Case Management

**Organization:** AdventHealth Orlando

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 25016799

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.