Case Manager - RN presso Pathways Health Partners

Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care. 🌟

What We Do:

Medicare REACH ACO: We're at the forefront of Medicare innovation.

Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients.

Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida.

Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered! 🗺️

Our Services:

Hospital Medicine Group: Delivering exceptional care in hospitals.

Affiliated Medical Practices: Managing several top-tier medical practices.

Insurance Agency: Offering comprehensive insurance solutions.

Join us on our journey to better health and value-based care! 🚀

About the Role:

Primary duties of the Case Manager – Nurse (RN) will include rounding patients in the hospital, communicating with patients at bedside and other treating providers for care coordination, identify post discharge needs and barriers to care and provides resources for patients.  The Case Manager – Nurse (RN) will conduct and document assessments of patient needs and resources for effective self-care management.

Role and Responsibilities 

Position Responsibilities: 

• Provides case management services for both inpatient and observation patients as assigned (while rounding at bedside).
• Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
• Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family.
• Reassesses the patient’s clinical condition as indicated.
• Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community-based resources.
• Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition.

Qualifications and Education Requirements 

1. Education: Successful completion of a Registered Nurse program from an accredited college, BSN preferred; or a combination of education and relevant experience.
2. Experience:  Minimum 2 year practicing RN preferred
3. Certification/Licensure:  Active and Clear RN License in the state of Florida.  CPR/AED or BLS PALS certified at time of hire.  
4. Training and Knowledge Required at Time of Hire:  Registered Nurse program curriculum completion, 
5. Age Specific Individuals Served/Responsibility:  Adults
6. Security Measures and Clearance:  Up to a Level 2 clearance 

Why Work for Pathways? 

Pathways Health Partners is a growing company based in Leesburg, FL. We are proud of our professional yet family culture with the executive team working daily alongside our team members. We provide competitive salaries, bonuses for all team members, and a benefits package that is second to none.  

• Medical Insurance for Employee and Spouse/Significant Other paid up to 100% by Pathways! 
• Addition of family coverage for dependents at a fraction of the cost 
• 25K life insurance for employees 100% paid by Pathways! 
• Increasing Employee coverage or adding spouse/dependents at a fraction of the cost 
• Vision and Dental Coverage available at a very low cost for employees, spouses, and family 
• 401K retirement plan with 100% match up to 4% of annual pay 
• Paid holidays 
• Ample Paid Time Off (PTO) for vacation/sick/personal days