All the benefits and perks you need for you and your family:

Benefits from Day One

Paid Days Off from Day One

Career Development

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

The role you’ll contribute:

The Readmission Coordinator, in collaboration with the CMO, CNO and Director of Administrative Improvement, will implement AdventHealth Carrollwood's Readmission Reduction Program. This program will target patients who are readmitted to the hospital within 30 days of discharge and fall into a priority diagnostic group as identified by CMS. Transitional management will be provided to the patients who have the highest risk for readmission and strategies will be appropriate to that level. •The Readmission Coordinator works as part of an interdisciplinary team including the supervising physician, medical providers, nursing leadership, nursing staff, pharmacists, home care liaisons. •The scope consists of inpatient, outpatient and emergency room patients. •This person will oversee improvements at AHCW related to publicly reported data and other quality initiatives related to patient care. •The Readmission Coordinator will assist in acquiring and maintaining various Disease Specific Certifications (i.e., ACC, HF, Integrated Care) •This person will collaborate with the Patient Experience Manager to identify ways to improve patient satisfaction in the transition of care domain

KNOWLEDGE AND SKILLS REQUIRED :

PROGRAM: •Responsible for the development, implementation, and maintenance of Readmission Reduction program. •Collaborates to reduce readmission rates as it relates to the CMS targeted diagnosis. •Communicates with all providers and care team if high risk readmitted patient arrives at the hospital (ED or other) in an effort to avoid the preventable readmission (i.e., evaluate until admitting practitioner sees patient, provide outpatient options, etc.). •Maintains current information on community resources, third-party payors, and managed care environment. •Knowledgeable of changing rules and regulations, policies, and procedures as they pertain to Readmission Reduction Program. •Identifies needs affecting the service of the readmission program, implements corrective action and evaluates the effectiveness of the corrective action. •Ensures that quality of patient care is maintained by collecting quality indicators and clinical path variance data, as well as identifying data that indicates potential areas for improvement. •Provides regular feedback on measures of success and reports to the Quality Improvement Council (QIC) three times per year. May act as team member, team leader, facilitator, or recorder. •Develops and maintains strong working relationships with all key internal stakeholders including physicians and hospital leadership. •Ensures education of relevant staff on the various aspects of the high-risk readmission patient with a focus on patient safety and quality care. •Serves as a resource for providing the latest evidence-based practice education. •Meets with community post-acute care providers on a regular basis and provides feedback regarding discharge throughput and opportunities for improvement. •Manages the accreditation process and ensures continuous compliance with Disease Specific standards of care and other regulatory bodies. •Participates in conferences and teleconferences related to Readmission Reduction programs as needed. •Participates in data compilation for audits and (re)accreditation or site visits. •Periodically attends voluntary, in-person professional development seminars offered at various annual meetings. PATIENT: •Call high risk readmission patients post discharge •Coordinates with primary care and consulting physicians to ensure continuity of care once patient is discharged in cases for high risk of readmission or as identified in post discharge phone calls. •Develops, discusses and communicates a plan of care for each patient, in collaboration with each patient/family/significant other in order to address all identified needs (research best practices/methods to administer readmission education, i.e., HF kits, scales, measuring cups, etc.) •Provides counseling, social support, and assistance in crisis situations. Proactively establishes and coordinates patient care conferences if there are care plan barriers, etc. These conferences are to coordinate continuing care plans, monitors plans, and assess potential need for alterations of plans due to patient's changing medical condition or social and financial support system. •Maintains strict confidentiality at all times. •Provides services, supports, or other assistance in a culturally sensitive manner responsive to the patient and family's beliefs, attitudes, language, and behaviors. •Provides care appropriate to each patient. •Maintains appropriate and timely documentation through medical record entries, daily logs, computer entries, and monthly statistics. Prepares and maintains required documentation on each patient. •Intervenes when patient satisfaction is at risk

Qualifications

EDUCATION AND EXPERIENCE REQUIRED :

Master's degree in Advanced Practice Registered Nurse (APRN) •Minimum of five years of experience in a healthcare setting, of which a minimum of two years has been spent in an acute care setting.

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED :

•Current FL Advanced Practice Registered Nurse (APRN) •Current American Heart Association BLS upon hire •Current American Heart Association ACLS upon hire

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: Quality/Clinical Effectiveness

Organization: AdventHealth Carrollwood

Schedule: Full-time

Shift: 1 - Day

Req ID: 24043702

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.