Nurse Case Manager (Pediatrics)
About The Position
Home Heart Florida is a rapidly growing pediatric home health company dedicated to caring for medically complex children in their homes. Unlike traditional case management roles that are desk-bound, this position involves direct interaction with families and patients, often for extended periods. Nurse Case Managers build strong relationships with families, understand their unique challenges, and ensure care plans align with the realities of home-based care. The company emphasizes a culture where good ideas are implemented quickly, and employees have a significant impact on shaping the clinical operations. This role offers the opportunity to manage a caseload of medically complex pediatric patients in Sarasota, focusing on building and updating care plans, managing prior authorizations, coordinating discharges, educating families, liaising with various healthcare stakeholders, supporting field nurses, and maintaining meticulous documentation.
Requirements
- Active Florida RN license and current BLS
- 2+ years of pediatric nursing, with meaningful time in high-acuity or complex care
- 2+ years in home health
- 2+ years of case management or care coordination
- Working knowledge of Medicaid, managed care, and pediatric authorizations
- Comfortable in an EMR and with basic spreadsheets and messaging tools
- Valid driver's license and reliable transportation for local visits across Sarasota
Responsibilities
- Building and updating care plans that reflect what is actually happening in the home
- Owning prior authorizations and renewals so coverage never lapses on a family
- Turning complicated hospital discharges into a plan the family and the field nurse can follow
- Teaching parents and caregivers to manage medications, pumps, vents, and feeding tubes in plain language
- Keeping physicians, payers, supply companies, and field nurses pointed at the same plan
- Backing up your field nurses when a case gets hard
- Keeping documentation clean, timely, and audit-ready before anyone asks for it
Benefits
- 401(k)
- full medical, dental and vision
- PTO
- wellness stipend
- education stipend
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
