jobs in Port Orange, FL

Nursing Jobs in Port Orange, FL

Director of Clinical Reimbursement

The Regional Director of Clinical Reimbursement provides extensive training, analysis, advice and consultation to the facilities and teams within his/her area of responsibility. Ensures compliance with federal and state regulations, as well as Company policy and procedures regarding state case mix/Medicare and Managed Care payment systems. Monitors, consults, and makes effective recommendations for changes and modifications to existing facility processes, systems, policies, and practices which will assure efficient, effective and compliant state Medicaid/Medicare/Managed Care payment performance. Travel will be necessary to facilities in Wisconsin, Tennessee, Kentucky, and Florida. Provides consultation, training and support concerning the Medicare, Managed Care and state case mix payment system for the assigned area. Analyzes systems and processes to determine that federal and state regulations as well as company policies and procedures are followed. Promotes compliance by performing periodic audits of MDS assessments, supporting documentation, and other relevant data. Recognizes, advises and promotes facility best practices and systems for dealing with state case mix/Medicare and Managed Care payment systems. Studies, analyze and reports period over period information and systems in order to identify trends and deviations from results in Medicare, Managed Care and State Case Mix Index and takes appropriate actions. Works in conjunction with teams to resolve issues effecting deviations from expected results. Recommends changes and performs follow-up to ensure that those recommendations are effectively implemented and monitored for appropriateness. Regularly communicates to management outside the facility on recommendations made to facility management to ensure proper implementation and follow-up. Serves as a liaison between state and organization related to the state case-mix process, including electronic submission and state MDS requirements related to state payment. Assists in the recruitment/interview process for MDS Vacancies

NICU

Part-time

1 week ago

Registered Nurse- NICU

Halifax Health Daytona Beach, FL

Night (United States of America) Registered Nurse- NICU The Registered Nurse is responsible and accountable for assessing, planning, implementing and evaluating as per the nursing process. The Registered Nurse is expected to direct, delegate, and coordinate all nursing care provided by the LPN, CNA, Patient Care Companion, and Unit Clerk consistent with their roles, responsibilities, and skill level. Assignments are performed appropriately to age and development level of the patient population being served. - RN – State of Florida - Degree from an accredited school of nursing, bachelor degree preferred. - Completion of general and nursing orientation. - Completion of unit orientation and unit-specific competency checklist. - Professionalism in interpersonal communication skills with patients, families, and colleagues - Certifications as required by the specific unit/area (Refer to required certification addendum). - Completion of annual competency based learning modules [CBL’s] - Excellent communication skills are needed in dealing with physicians, patients, family, and other disciplines - Assesses the patient on admission and assesses and monitors on an ongoing basis. - Assesses patient/family learning needs. - Recognizes and responds to changes in the patient’s condition. - Documents assessment data on admission and on an ongoing basis. - Plans and coordinates care based on assessment of the patient’s status and ongoing identified needs. - Involves family/significant others in the plan of care as desired by the patient. - On admission, initiates individualized teaching plan to ensure positive outcomes and timely discharge. - Implements supportive and rehabilitative nursing care according to identified patient needs. - Collaborates with the multidisciplinary team to achieve desired patient outcomes. - Initiates and verifies physician orders. - Utilizes nursing judgment in the provision of care. - Evaluates patients/families response to interventions and progress toward desired outcomes. - Organizes patient care based on patient needs and available resources. - Serves as the patient advocate by providing compassionate nursing care, which is individualized to meet the special needs of each patient. - Identifies priorities for care of assigned patients. - Coordinates patient care activities with services provided by ancillary departments to optimize patient outcomes. - Demonstrates professional development, accountability, and leadership in the performance of their professional nursing practice. Adheres to our Cornerstone standards and hospital mission and values at all times. - Reports to work when scheduled (Refer to Attendance policy). - Maintains a professional appearance that demonstrates a positive image (Refer to Professional Appearance Expectations policy). - Maintains patient confidentiality and acts in an ethical manner at all times. - Follows legal and ethical guidelines in providing nursing care. - Maintains competencies and continues development of professional/clinical knowledge base through continuing education. - Assists with staff orientation and professional development. - Contributes to a safe and secure environment for patients, visitors, and co-workers. - Supports research and participates in quality improvement initiatives. - Administers medications according to established policies. - Complies with patient safety goals and programs.