About The Position

The RN Case Manager (Care Coordinator) is responsible for facilitating and coordinating the interdisciplinary plan of care. This role focuses on evaluating clinical appropriateness, medical necessity, and level of care while ensuring efficient resource utilization. The Case Manager plays a vital role in promoting positive patient outcomes, supporting patient throughput, identifying barriers to care, and coordinating safe and effective discharge planning.

Requirements

  • Minimum 3 years of recent (within the last year) Case Manager experience in an acute care setting OR 3 years of experience in Med/Surg, Telemetry, Neuro, ICU, PCU, or ED
  • Must have 3 years of total acute care experience, with at least 1 year within the past 5 years
  • Associate Degree in Nursing (ADN) or Diploma in Nursing required
  • Active Florida RN license or Compact RN license

Nice To Haves

  • Bachelor of Science in Nursing (BSN) preferred
  • Case Management Nursing Specialty Certification
  • Utilization Review

Responsibilities

  • Conduct comprehensive medical and psychosocial assessments
  • Develop, implement, and document individualized case management plans
  • Lead and participate in interdisciplinary care team meetings
  • Collaborate across departments to coordinate and evaluate patient care
  • Review admissions for medical necessity using approved criteria
  • Conduct concurrent and retrospective reviews for third-party payers
  • Identify and resolve barriers impacting patient flow
  • Facilitate timely and appropriate discharge planning
  • Coordinate post-discharge services to ensure continuity of care
  • Serve as a liaison between physicians, patients, families, hospital staff, and external agencies

Benefits

  • 401(k) with 100% employer match (3%–9% based on tenure)
  • Employee Stock Purchase Plan
  • Tuition assistance
  • Student loan repayment
  • Certification support
  • Fertility and family-building benefits
  • Adoption assistance
  • Child and elder care referral services
  • Comprehensive medical, dental, and vision coverage
  • Behavioral health benefits
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