Case Manager RN (Direct Hire) - Tallahassee, FL

NavitasPartners•Tallahassee, FL

1d•Onsite

About The Position

The Case Manager Registered Nurse (RN) is responsible for coordinating and facilitating interdisciplinary patient care plans to support positive clinical outcomes, efficient resource utilization, and timely progression through the continuum of care. This role focuses on assessing patient needs, managing admissions and discharges, evaluating medical necessity, and collaborating with healthcare teams to ensure high-quality, patient-centered care in compliance with hospital and regulatory standards.

Requirements

Active Registered Nurse (RN) license (Florida or Compact License required)
Associate Degree in Nursing (ADN) or Nursing Diploma required
Minimum 3 years of recent Case Management experience in an acute care setting preferred
Candidates with acute care backgrounds in Med/Surg, Telemetry, Neuro, ICU, PCU, or ED may be considered
Experience in home health or insurance case management may be considered when combined with acute care experience
Strong ability to work effectively within a fast-paced interdisciplinary hospital environment

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred
Case Management, Utilization Review, or Nursing certification preferred
Strong understanding of care coordination, discharge planning, and utilization management
Excellent communication, organizational, leadership, and critical thinking skills

Responsibilities

Perform comprehensive assessments of patients’ psychosocial and medical needs
Develop and document individualized case management care plans
Coordinate interdisciplinary care planning with physicians, nursing staff, and allied health teams
Ensure care plans address clinical needs, discharge planning, and resource utilization
Evaluate admissions for medical necessity using approved clinical criteria
Monitor patient status and escalate concerns when appropriate
Conduct utilization reviews and communicate findings with payers
Maintain compliance with hospital policies and regulatory standards
Identify barriers to patient throughput and discharge delays
Facilitate safe and timely discharge planning
Coordinate post-discharge services including rehabilitation, home health, and community resources
Support high-risk and chronic disease patient populations through appropriate referrals
Participate in interdisciplinary team meetings and care coordination activities
Serve as a liaison between patients, families, physicians, hospital departments, and external agencies
Communicate care plans and patient updates across clinical teams
Support collaborative decision-making to improve patient outcomes
Ensure compliance with organizational policies, ethics, and regulatory requirements
Participate in quality improvement and performance enhancement initiatives
Monitor barriers to care and recommend workflow improvements
Report patient safety concerns and contribute to continuous improvement programs
Engage patients and families in care planning and goal setting
Educate patients regarding healthcare access, prevention, and available resources
Advocate for patient needs and connect under-resourced populations with support services
Promote safe, cost-effective, and patient-centered care delivery