RN Case Manager Acute Care

Texas Nursing Services • Tallahassee, FL

23d • $32 - $44

About The Position

A 280+ bed acute care hospital is seeking an experienced RN Case Manager (Evenings) to join its Case Management department. In this role, you will coordinate interdisciplinary care, conduct utilization review, ensure appropriate patient status and level of care, and support safe, timely discharges across a variety of units including ED, Med/Surg, Telemetry, Neuro, ICU, and PCU. This role reports directly to the Director of Case Management.

Requirements

• Active Florida RN license or Compact RN (must obtain FL license within 90 days if Compact).
• 3 years recent acute care RN Case Management experience OR 3 years acute care RN experience (Med/Surg, Tele, Neuro, ICU, PCU, or ED) with strong UR/throughput skills.
• Associate Degree or Diploma in Nursing.
• Home Health or Insurance Case Management background (must include 3 years total acute care RN experience, with at least 1 year within the last 5 years).
• APRN license (if current and compliant).

Nice To Haves

• BSN
• Case Management/UR certifications (CCM, ACM, RN-BC)

Responsibilities

• Complete comprehensive clinical and psychosocial assessments; develop criteria-driven plans of care with clear discharge goals.
• Lead interdisciplinary huddles and collaborate with physicians, RNs, therapy, pharmacy, and social work.
• Conduct medical necessity reviews at admission and throughout hospitalization; escalate issues regarding patient status or level of care.
• Manage observation status appropriateness and convert when indicated.
• Perform concurrent/utilization reviews and communicate with third-party payers.
• Identify barriers to care and throughput; remove obstacles to reduce LOS and prevent avoidable days or readmissions.
• Coordinate post-acute care needs, including placement, home services, and community referrals.
• Document case management interventions; track and trend variances and support performance improvement efforts.
• Maintain compliance with regulatory, quality, and ethical standards; assist with staff education and protocol implementation.

Benefits

• Medical, dental, vision, behavioral health, telemedicine
• 401(k) with 100% match (3–9% based on years of service)
• Employee Stock Purchase Plan (10% discount)
• PTO, extended leave, disability coverage
• Tuition reimbursement, student loan assistance, certification support
• Wellness programs, EAP, employee recognition initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 101-250 employees