Location: Tallahassee, Florida
Job Title: Case Manager RN
Specialty: Case Management
Job Summary:
The RN Case Manager Care Coordinator is responsible for facilitating interdisciplinary care plans with a focus on medical necessity, resource utilization, and patient throughput. This role ensures high-quality, patient-centered outcomes by coordinating care, identifying barriers, and developing effective discharge plans across the continuum of care.
Responsibilities:
- Perform comprehensive assessments of patients’ medical and psychosocial needs
- Develop, implement, and document individualized case management plans of care
- Lead interdisciplinary collaboration and care coordination efforts
- Evaluate admissions for medical necessity and appropriate level of care
- Conduct utilization reviews and communicate with third-party payers
- Facilitate patient throughput and discharge planning
- Identify and address barriers to care, developing action plans for improvement
- Act as liaison between physicians, patients, families, and external agencies
- Ensure compliance with regulatory requirements and quality standards
- Educate patients and families on care plans, resources, and post-discharge needs
- Monitor trends in patient care barriers and recommend process improvements
- Support cost-effective care without compromising quality or safety
- Advocate for high-risk and underserved patient populations
- Document all care coordination activities and recommendations accurately
- Participate in performance improvement and patient safety initiatives
Requirements:
- Minimum 3 years of recent case management experience in an acute care setting required
- OR 3 years of acute care RN experience in Med/Surg, Tele, Neuro, ICU, PCU, or ED
- Home health or insurance case management experience considered if candidate has:
- 3+ years total acute care experience
- At least 1 year of acute care experience within the last 5 years
- Associate Degree in Nursing required; BSN preferred
- Active Florida RN license or compact license required (Florida licensure within 90 days if compact)
- Case Management, Nursing, or Utilization Review certification preferred
- APRN license acceptable if applicable
Schedule:
- Full-time
- Day shift: 8:00 AM – 4:30 PM EST
- 1 weekend every 4 weeks
Setting:
- Acute care hospital
- 250+ bed facility
- Offers comprehensive services including behavioral health, NICU, cardiac, stroke, surgical, and rehabilitation programs
Benefits:
- Comprehensive medical, dental, and vision coverage
- Prescription, behavioral health, and telemedicine services
- 401(k) with employer match
- Employee stock purchase plan
- Tuition assistance and student loan support
- Paid time off and family leave programs
- Life, disability, and supplemental insurance options
- Employee wellness and counseling resources
- Childcare, eldercare, and lifestyle support services
- Discounts and financial planning resources
- Adoption assistance and fertility benefits