RN Case Manager – Home Care- LEHIGH ACRES 33936
About The Position
Family Pillars Homecare is seeking an organized, clinically skilled Registered Nurse to manage and coordinate home care services for patients throughout Southwest Florida. Candidates should be based in Naples, Lehigh Acres, or Fort Myers, while understanding that the caseload includes patients across the region. This primarily remote position involves in-person patient visits as needed. The RN Case Manager coordinates managed care, workers’ compensation, and private-pay cases and serves as a clinical point of contact for patients, families, caregivers, therapy providers, payers, and adjusters. The role requires sound clinical judgment, strong communication, attention to detail, and the ability to navigate different payer requirements while keeping patient care organized and responsive.
Requirements
- Active Florida Registered Nurse (RN) license.
- Strong clinical assessment, care planning, and patient monitoring skills.
- Ability to coordinate managed care, workers’ compensation, and private-pay cases, accounting for their different communication, authorization, and documentation needs.
- Understanding of service authorizations and ability to track approved services, identify upcoming expirations, and communicate requests for changes or extensions.
- Strong professional communication skills when working with patients, families, caregivers, providers, payers, and adjusters.
- Ability to clearly explain care plans and service expectations, manage concerns professionally, and maintain appropriate confidentiality.
- Excellent organization, documentation, time management, and follow-through.
- Comfort using electronic documentation systems and remote communication tools.
- Ability to work independently, prioritize competing needs, and manage a geographically dispersed caseload.
- Reliable transportation and willingness to travel throughout Southwest Florida for patient visits as needed.
Nice To Haves
- Home care or home health case management experience.
- Managed care coordination experience, including payer communication and authorization tracking.
- Workers’ compensation case coordination experience, including communication with adjusters, external case managers, and treating providers.
- Private-pay care coordination experience and direct communication with patients and families regarding service needs and expectations.
- Experience coordinating nursing, caregiver, and therapy services.
Responsibilities
- Manage a caseload of managed care, workers’ compensation, and private-pay patients throughout Southwest Florida.
- Review and update individualized care plans in collaboration with patients, families, caregivers, providers, and other care team members.
- Conduct in-home assessments and patient visits as needed based on clinical needs and case requirements.
- Monitor changes in patient condition, identify concerns, and coordinate timely follow-up.
- Coordinate services within approved authorizations, monitoring authorized hours, visits, service dates, and requests for additional care.
- Communicate with managed care representatives, workers’ compensation adjusters, external case managers, and treating providers about patient progress, care needs, and service coordination.
- Coordinate private-pay services with patients and families, clearly communicating care plans, service expectations, and changes in care needs.
- Maintain accurate, timely clinical documentation and case updates that meet agency standards and applicable payer requirements.
- Collaborate with scheduling, HR, and clinical leadership to address staffing needs, communicate case-specific instructions, and support continuity of care.
- Assist with onboarding and orientation of field staff assigned to cases.
- Identify and address barriers to care, service gaps, and patient or family concerns.
- Assist with daily quality assurance of notes and files, including starts of care, evaluations, and clinical visits, including therapy.
Benefits
- Hourly pay of $38–$40.
- Primarily remote work with patient visits as needed.
- Supportive, responsive clinical leadership.
- Collaborative team focused on coordinated, patient-centered care.
- Opportunity to help grow and strengthen home care services throughout Southwest Florida.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
