Job Description
We are seeking an experienced and compassionate RN Case Manager to join our dynamic clinical care coordination team. This role involves guiding patients through their care journey, ensuring appropriate resource utilization, timely discharges, and coordination of interdisciplinary care plans.
Responsibilities:
Conduct comprehensive medical and psychosocial assessments
Develop and implement individualized case management plans
Lead interdisciplinary rounds to ensure alignment on patient care goals
Evaluate medical necessity and level of care, utilizing approved criteria
Perform utilization review and liaise with payors
Facilitate discharge planning and patient/family education
Identify and resolve barriers to patient throughput
Document interventions and communicate effectively with all stakeholders
Track variances and implement strategies for quality improvement
Qualifications:
Qualifications
Minimum 3 years of recent RN Case Management experience in an acute care hospital required
OR at least 3 years combined acute care experience, including at least 1 year within the last 5 years (for home health or insurance case managers)
Acceptable background includes: Med/Surg, Tele, Neuro, ICU, PCU, or ED
Associate Degree in Nursing or Nursing Diploma required; BSN preferred
Florida RN license or compact RN license (must obtain FL license within 90 days)
Certification in Case Management, Nursing, or Utilization Review preferred
Additional Information
Benefits Highlights:
Comprehensive medical, vision, and dental coverage with low or no copays
Free telemedicine and emergency air transportation
401(k) with up to 9% match
Tuition reimbursement and student loan support
Paid family leave, PTO, and short/long-term disability coverage
Employee-only coverage under the Employee Health Assistance Fund
Pet insurance, legal support, identity theft protection