Registered Nurse (RN) – Case Manager - 0623 NS #1

NavitasPartners•Tallahassee, FL

1d•Onsite

About The Position

We are seeking an experienced Registered Nurse (RN) Case Manager to coordinate patient care across the continuum of services while promoting quality outcomes, efficient resource utilization, and timely discharge planning. The RN Case Manager will collaborate with interdisciplinary teams to assess patient needs, manage care plans, facilitate patient throughput, and ensure compliance with regulatory and organizational standards.

Requirements

Minimum 3 years of recent Case Management experience in an acute care setting preferred.
Candidates with 3 years of recent experience in Med/Surg, Telemetry, Neuro, ICU, PCU, or Emergency Department settings will also be considered.
Home Health or Insurance Case Management experience considered if accompanied by: Minimum 3 years of total acute care experience.
At least 1 year of acute care experience within the last 5 years.
Associate Degree in Nursing (ADN) or Nursing Diploma required.
Active Florida Registered Nurse (RN) License or Compact RN License required.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.
Certification in Case Management, Utilization Review, or Nursing preferred.
Acute Care Case Management.
Utilization Review and Medical Necessity Review.
Discharge Planning and Care Coordination.
Resource Management.
Interdisciplinary Team Collaboration.
Patient Advocacy.
Regulatory Compliance and Documentation.
Quality Improvement Initiatives.
Strong communication and relationship-building skills.
Critical thinking and problem-solving abilities.

Responsibilities

Perform comprehensive assessments of patients’ medical, psychosocial, and discharge planning needs.
Develop, implement, and coordinate individualized case management plans of care.
Lead interdisciplinary care coordination efforts to support appropriate levels of care and resource utilization.
Conduct utilization reviews and evaluate medical necessity throughout the patient stay.
Monitor admission status and escalate issues through established processes when necessary.
Facilitate discharge planning and coordinate post-acute services and community resources.
Collaborate with physicians, nurses, patients, families, payers, and external agencies.
Participate in interdisciplinary team meetings and care conferences.
Identify barriers to patient throughput and develop strategies to improve outcomes and efficiency.
Coordinate referrals to disease management, case management, and community support programs.
Document case management interventions, recommendations, and care coordination activities.
Monitor compliance with regulatory requirements, quality initiatives, and organizational policies.
Analyze trends, variances, and barriers to care and recommend process improvements.
Advocate for patients and assist in addressing healthcare access and resource needs.
Support quality improvement and patient safety initiatives.