Location Address: 410 S 11th St, Lake Wales, FL 33853
Top Reasons to Work at AdventHealth Lake Wales
A historic community with a hometown family feel; voted “friendliest small town in FL”
Surrounded by golf courses, beautiful lakes, and outdoor adventures
The facility is just 20 minutes away from LEGOLAND Florida
Faith-based work environment
You Will Be Responsible For:
Eagerly assists in conducting an effective Utilization Management program.
Accurately identifies through chart review of SI/IS for admit and continued stay.
Efficiently refers cases to the Physician advisor/representative of UM comm not meeting criteria.
Correctly identifies avoidable days and maintains a system to communicate effectively to UM committee.
Accurately identifies relevant information that is appropriate to present to UM committee
Distinctively establishes and maintains criteria or identifies resolutions of problems associated with utilization Review functions for committee
Competently coordinates the overall discharges planning and social services function ensuring compliance with federal and state laws and Joint Commission of Accreditation of Hospital.
Enthusiastically accepts client referrals and responds accordingly
What You Will Need:
Current Florida RN license
Minimum of three years nursing experience
Prior experience in UR or Case management (Preferred)
RN with three yearsâ™ experience in case management or utilization management (Preferred)
The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services.
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.