Case Manager Registered Nurse (RN)

Purple Cow Recruiting•Tallahassee, FL

1d•$32 - $44

About The Position

Heartline Staffing, Strategic Talent Partners with Purple Cow Recruiting, is seeking a Case Manager Registered Nurse (RN) for a permanent opportunity in Tallahassee, Florida. The Case Manager RN facilitates the interdisciplinary plan of care with a focus on medical necessity, level of care, patient throughput, discharge planning, and resource utilization. This role plays a critical part in balancing high-quality patient care with efficient care coordination across the continuum.

Requirements

Active, unrestricted Registered Nurse (RN) license for the position being applied for.
Florida RN license or valid multistate compact license required (Florida licensure required within 90 days if compact).
Associate Degree or Diploma in Nursing required; BSN preferred.
Minimum of 3 years of recent (within the last year) Case Manager experience in an acute care setting required.
OR
Minimum of 3 years of acute care RN experience (Med/Surg, Tele, Neuro, ICU, PCU, or ED) with strong interest in case management.
Candidates with home health or insurance case management experience may be considered if they have:
– 3 total years of acute care RN experience
– At least 1 year of acute care experience within the last 5 years
Strong care coordination, communication, and clinical judgment skills.

Nice To Haves

Certification in Case Management, Nursing, or Utilization Review preferred.

Responsibilities

Perform comprehensive assessments of patients’ psychosocial and medical needs.
Develop, implement, and document individualized case management plans of care.
Lead and participate in interdisciplinary care coordination and team meetings.
Evaluate admissions, observation status, and ongoing medical necessity using approved criteria.
Perform utilization management reviews and communicate with third-party payors.
Facilitate patient throughput while maintaining quality and efficiency.
Identify barriers to care and develop action plans to improve outcomes and processes.
Coordinate discharge planning and post-acute services.
Serve as a liaison between physicians, patients, families, hospital staff, and external agencies.
Advocate for patients with complex needs, including under-resourced populations.
Ensure compliance with regulatory, ethical, and quality standards.