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RN Case Manager - Acute Care (Evening Shift) - Utilization Review & Discharge Planning in Talla[...]

Energy Jobline ZR
Full-time
On-site
Tallahassee, Florida, United States
Job Description
As an RN Case Manager on the evening shift, you will lead utilization review, coordinate discharge planning, and ensure appropriate patient care status across multiple units including ED, Med/Surg, Telemetry, Neuro, ICU, and PCU. Reporting to the Director of Case Management, you will drive collaboration between clinical teams and payers to improve patient flow, reduce length of stay, and prevent avoidable readmissions.

Schedule

Evening Shift: 12:00 PM – 8:30 PM ET

One weekend per 4-week schedule

Key Responsibilities

Conduct comprehensive clinical and psychosocial patient assessments

Develop criteria-driven plans of care with clear discharge goals

Lead interdisciplinary team huddles, facilitating collaboration among physicians, nurses, therapists, pharmacy, and social work

Perform medical necessity reviews, manage patient status conversions, and execute utilization reviews

Document interventions, communicate with third-party payers, and track trends for performance improvement

Identify and remove barriers to care and throughput to reduce length of stay and prevent readmissions

Coordinate post-acute care placements and connect patients/families with community resources

Ensure compliance with regulatory, ethical, and quality standards

Qualifications

Current RN license in Florida or Compact (must obtain Florida RN license within 90 days if Compact)

3 years recent (within last year) acute care RN case management experience OR 3 years acute RN experience in Med/Surg, Telemetry, Neuro, ICU, PCU, or ED with strong utilization review/throughput skills

Associate Degree or Diploma in Nursing

Also Considered (if acute background met)

Home Health or Insurance Case Management experience (with 3 years total acute RN experience, including ≥1 year acute within last 5 years)

APRN license acceptable if current and compliant

Preferred Credentials

BSN degree

Certification in Case Management, Utilization Review, or Nursing (e.g., CCM, ACM, RN-BC)

Additional Information
Join a 280+ bed acute care hospital’s Case Management team in Tallahassee, delivering high-quality, patient-centered care. Our hospital is dedicated to optimizing patient outcomes through coordinated interdisciplinary care, efficient utilization review, and safe discharge planning.

Benefits

Medical, dental, and vision insurance

Behavioral health and telemedicine services

401(k) with 100% match (3–9% based on years of service)

Employee Stock Purchase Plan (10% discount)

Paid time off, family leave, and coverage

Tuition assistance and student loan repayment programs

Wellness programs and employee assistance

Recognition and professional development initiatives

How to Apply
If you meet the qualifications and want to join a supportive team committed to quality care and patient advocacy, apply today!

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Apply now
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