Care Manager - LPN/RN

at DaVita Medical Group

Pinellas Park, FL

Posted on Jul. 10, 2017

Full Time

Health Insurance, Life Insurance, Dental Insurance, Vision Insurance, 401k / Retirement Plan

Care /Case Manager (LPN/RN)

• St. Petersburg, FL
• Pinellas Park, FL
• Largo, FL
• Clearwater, FL
• Tarpon Springs, FL
• Palm Harbor, FL
• Dunedin, FL
• Kenneth City, FL
• Seminole, FL

Care Manager
Oversee pre-certification, patient care management, discharge planning and health plan compliance within the center. Reports to the Center Administrator

DaVita Medical Group manages and operates medical groups and affiliated physician networks in California, Colorado, Florida, Nevada, New Mexico, Pennsylvania and Washington. A leading medical group in America, DaVita Medical Group has over two decades of experience providing coordinated, outcomes-based medical care in a cost-effective manner. As of December 31, 2016, DaVita Medical Group’s 2,000 employed clinicians, 12,000 teammates, and network of 13,000 affiliated clinicians provided care for approximately 1.7 million patients. DaVita Medical Group’s leadership development initiatives and social responsibility efforts have been recognized by Fortune, Modern Healthcare, Newsweek and WorldBlu.

DaVita Medical Group is an equal opportunity/affirmative action employer. As such, DaVita Medical Group makes hiring decisions solely on the basis of qualifications and experience, and without regard to age, race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.

We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.

DaVita Medical Group will consider qualified applicants who have criminal histories in a manner consistent with the law.

Education requirements• High school graduate, GED or equivalent.
• Must possess a current and valid LPN or RN Florida state license.
• LPNs: IV Certification preferred.
• RNs: Associates or Bachelor’s degree in Science required.

Experience requirements• 3 to 5 years of recent clinical nursing experience.
• 1-2 years of previous care management, utilization review or discharge planning experience is preferred.
• Managed care experience preferred.

ResponsibilitiesEssential Functions:
• Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer.
• Represents the Company in a professional manner, following all Company policies and procedures.
• Uses, protects, and discloses DaVita Medical Group patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Monitors inpatient, outpatient, and SNF patients and initiate patient care arrangements. Reports findings to Medical Management, Medical Director and Center Administrator.
• Responsible for patient care management to assure appropriate care is provided; reinforce patient education regarding preventative care, dietary restrictions, medications and other therapeutic regimens; coordinate home health and DME requests and provide recommendations to the Center Medical Director.

Skills• Ability to provide on-site clinical treatment within scope of practice.
• Ability to perform accurate telephonic triages, accurately record findings with follow-up.
• Knowledge and skill in the applications of the techniques and practices of the nursing profession.
• Ability to explain medical instructions to patients and their families.
• Ability to learn and understand appropriate Federal, State, and local regulations.
• Ability to communicate effectively with patients and all levels of personnel/customers in a professional, courteous and effective manner using excellent customer service skills.
• Ability to be a clinical resource for non-licensed office staff.
• Ability to prioritize and multi- task in a high paced environment with good organizational skills.
• Display initiative, accountability and resourcefulness.
• Ability to perform care management.
• Must be computer literate.
• Knowledge of HIPAA regulations.
• Ability to read, speak, write, and

Work hoursVaried.

healthcare medical LPN patient care Clinical medical office laboratory patient services care management inpatient outpatient inpatient/outpatient RN LPN/RN LPN/RN license english/spanish patient care evaluation health claims pre-certification discharge planning manager management RN/LPN licensed RN/LPN RN license LPN license Florida Hospital Lake Wales Haines City Lake Wales Medical Center Lakeland Regional Medical Center Winter Haven Hospital Center Administrator Provider Clinical Team Plan of Care Plan of Care and Disposition Care Manager Punctual Reliable Attendance Director of Regional Operations SNF Skilled Nursing Facility Patient Care Patient Care Arrangements Monitor Inpatient and Outpatient Care Arrangements Care Arrangement Medical Director Medical Management DME Coordinate Home Health Coordinate DME Requests Consultants HCFA Part A Part B Claims QI QI Projects Care Management Meetings LPN License RN License FL RN License FL LPN License Clinical Nursing Experience Clinic Experience Travel Local Travel Clinic Locations Explain Medical Instructions to Patients Explain Medical Instructions to Families Federal Regulations State Regulations Local Regulations Read English Speak English Write English Fluent English Precertification Pre-Certification Discharge Planning Health Plan Health Plan Compliance Chronic Illness Disability Disabilities Family Family Members Pinellas Park 33781 Monitor Inpatient Monitor Outpatient Administrator Geriatric Care Manager Geriatric Kenneth City St. Petersburg Palm Harbor Clearwater Tarpon Springs St. Pete Beach St. Pete Dunedin Clearwater Beach Pinellas Pinellas County Tampa Tampa Bay PPO Primary Care HIPPA Team Cross-System Agency Collaboration Service Providers Support Persons Triages
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