Onsite Inpatient Case Manager: (RN, LPN)- Sarasota/Lakewood Ranch

MAXhealth•Lake Sarasota, FL

18d•Onsite

About The Position

The Onsite Inpatient Case Manager is an RN or LPN who works onsite at hospitals to coordinate and manage care transitions for patients after emergency department visits, hospitalizations, or skilled nursing facility stays. The role partners with clinical teams, providers, and community organizations to support safe, timely, and effective transitions, reduce readmissions and emergency department use, and improve patient outcomes and experience. The position is based in Sarasota or Lakewood Ranch. Typical hours are Monday through Friday, 8:00 a.m. to 5:00 p.m., with some flexibility. Compensation is based on experience and qualifications. A $500 hiring bonus is paid after 30 days of employment.

Requirements

Active RN or LPN license.
At least three years of clinical or case management experience.
Three years of experience in a professional setting such as a hospital, clinic, or managed care organization.
Excellent organizational, time management, and prioritization skills.
Critical thinking, problem-solving, and decision-making skills.
Professional appearance and demeanor when interacting with patients, providers, and coworkers.
Computer proficiency, including basic office programs and electronic medical or health record systems.

Nice To Haves

Experience in care transitions, population health, or chronic disease management.
Experience in case management, utilization management, quality assurance, discharge planning, or another cost management program.
Experience working with the Medicare Advantage population.

Responsibilities

Conduct face-to-face or bedside visits with attending clinicians, patients, and care teams before discharge to assess needs, barriers, and risks.
Develop and implement individualized transitional care plans in collaboration with providers, hospital discharge planners, and caregivers.
Arrange timely post-discharge follow-up appointments within three days when appropriate.
Coordinate medication reconciliation and education with pharmacists or nursing staff.
Identify and address social determinants of health that affect recovery or self-management.
Monitor patient progress during the 30-day post-discharge period through outreach, coaching, and coordination as needed.
Document care in the electronic health record in accordance with transitional care management and organizational standards.
Track outcomes such as readmissions, emergency room visits, and follow-up adherence using population health tools.
Liaise between inpatient and outpatient care teams to support effective communication and continuity of care.