**Quality Review Nurse RN PRN Home Care** **AdventHealth** **Home Health** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from Day One + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its 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:** PRN **Shift** : Monday through Friday 8:00 a.m. to 5:00 p.m. **Location:** Virtual Remote near 602 COURTLAND ST, Orlando, FL, 32804 **The role you'll contribute:** Responsible for ensuring effective utilization and case management oversight activities as defined by interprofessional best practices and agency policies/processes. This position ensures clear and appropriate visit utilization using evidence-based and best practice guidelines to achieve positive clinical outcomes and efficient use of resources. In addition, this position identifies and collaborates with clinical supervisors on feedback and coaching opportunities for clinical colleagues. Additionally, this role works under the supervision of the Department Manager. Responsibilities for this role include overseeing case management activities and ensuring adherence to best practices. This role contributes to the overall efficiency and effectiveness of case management processes. **The value you'll bring to the team:** + Evaluates visits per episode for optimal utilization, ensuring the best clinical outcomes and efficient use of resources. + Analyzes utilization to ensure visits align with episode guidelines and best practices. + Develops and revises utilization policies based on past practices to improve efficiency. + Collaborates with colleagues and field clinicians to achieve strategic aims, top decile outcomes, and patient satisfaction. + Mentors colleagues and encourages the implementation of best practice guidelines. + Determines patient risk for rehospitalization and appropriate care pathways. **The expertise and experiences you'll need to succeed:** **Minimum qualifications:** + Associates degree + Home Care experience + OASIS experience + PDGM experience + Registered Nurse State Licensure and/or Compact State Licensure In Florida **Preferred qualifications:** + Bachelor's degree + Care Management, Case Management other applicable certifications. + OASIS certification within 180 Days 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:** Case Management **Organization:** AdventHealth Home Health and Hospice **Schedule:** Per Diem **Shift:** 1 - Day **Req ID:** 25033761 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.