RN Clinical Coordinator Manager

Palm Medical Centers•Lakeland, FL

5d•Onsite

About The Position

Palm Medical Centers is seeking an experienced RN Clinical Coordinator with leadership experience to join their team. The RN Clinical Coordinator Manager is responsible for supporting and overseeing the Case Management (CM) team within the Central Florida (CFL) Market. This role ensures effective coordination and continuity of care for patients across hospital and skilled nursing facility (SNF) settings, from admission through discharge. The position reports directly to the Utilization Management Department.

Requirements

Proven experience in case management, including roles such as RN Case Manager or healthcare care manager
Demonstrated experience managing or supervising staff
Strong knowledge of case management principles, utilization management, and reimbursement processes
Understanding of the psychological and behavioral aspects of patient care
Excellent communication, organizational, and time management skills
Ability to multitask, problem-solve, and work effectively in a team-oriented environment
Compassionate, patient-centered approach to care
Familiarity with CPT coding and ICD-10 terminology
Active Florida Registered Nurse (RN) license
Minimum 3 years of RN Clinical experience
Case management experience

Nice To Haves

Knowledge of InterQual or Milliman Care Guidelines preferred
Bilingual skills preferred

Responsibilities

Supervise assigned Case Managers, including monitoring monthly performance metrics and providing ongoing coaching and development
Coordinate team coverage to ensure continuity of operations
Conduct onboarding and orientation for new staff
Maintain daily tracking of all hospital and nursing home admissions, readmissions, and discharges for assigned centers
Lead education, training initiatives, and staff development programs
Monitor case activity to identify trends, risks, and opportunities for improvement
Communicate effectively with Regional leadership, Administrators, and providers regarding patient care needs and operational priorities
Identify and escalate potential catastrophic and stop-loss cases
Recognize patients with potential subrogation or cost allocation opportunities
Coordinate patient transfers as directed by the Medical Director or Primary Care Provider (PCP)
Support PCPs with appropriate patient placement in Skilled Nursing Facilities (SNFs)
Participate in Case Management huddles and monthly meetings
Enhance staff competency by delivering education, facilitating learning opportunities, and ensuring application of knowledge to improve patient outcomes
Improve care delivery and outcomes by evaluating, redesigning, and implementing processes, policies, and procedures
Contribute to financial performance by analyzing results, monitoring variances, identifying trends, and recommending actionable solutions