Nurse Health Advisor

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.

The Nurse Health Advisor coordinates care, educates clients, and provides interventions within the scope of case management practice that have direct influence on clinical and financial outcomes. It is a dynamic and systemic collaborative approach to providing and coordinating health care services to a defined population across the continuum. Responsibility includes identification of high-risk clients, assessment of healthcare needs, collaboration, and coordination with health care providers and development of plan of care with accurate documentation of these activities. Participates in the process to identify and facilitate options and services for meeting individuals' health care needs, while decreasing fragmentation and duplication of care and enhancing quality and cost-effective clinical outcomes. Actively participates in outstanding customer service and accept responsibility in maintaining relationships that are equally respectful to all.

Identify high-risk clients, monitor, assess, and evaluate health care /psychosocial needs, collaborate and coordinate care and services between healthcare providers Develop plans of care with immediate and long-term goals, organize and implement care management activities, and document interventions and activities consistent with individualized and care management goals. Adhere to case management standards of practice for case management and follows evidence-based clinical guidelines, incorporates whole person care with CREATION Health model promoting quality care and cost-effective outcomes that enhance physical, psychosocial and vocational health of individuals Assesses clients/caregiver(s) activation stage, literacy level, and self-management capabilities. Identifies and refers client to appropriate interdisciplinary care team member and/or community resources for identified needs in these areas. Incorporates the assessments and referrals into plan of care. Facilitates advanced care planning and collaboration with behavioral health services to prevent/avoid unnecessary hospitalizations and/or readmissions. Educates client and family/caregiver(s) on diagnosis, medications, medication reconciliation, nutrition and moves client toward self-management. Monitor and document response to interventions and client progress utilizing motivational interviewing to facilitate positive behavior change and meeting goal driven outcomes. Collaborate with the interdisciplinary care team to develop person-centered care plans that prevent avoidable hospitalizations and ED visits