Location: Tallahassee Florida
Position Title: Case Manager RN
Position Type: Permanent / Contingent
Evening Shift: 12:00 PM 8:30 PM EST
Schedule: 1 weekend per 4-week cycle
We are seeking an experienced Case Manager RN to join a 288-bed acute care setting serving Leon and Gadsden Counties. This facility offers a wide range of services including Emergency Care Behavioral Health Cancer Services Heart & Vascular Care Orthopedics NICU Rehabilitation Surgical Services Stroke Care Imaging and more.
The RN Care Coordinator is responsible for overseeing the interdisciplinary plan of care ensuring medical necessity appropriate resource utilization and timely patient throughput. This role is focused on achieving quality outcomes while coordinating safe efficient and effective discharge planning.
Perform comprehensive assessments of medical and psychosocial needs
Develop document and coordinate individualized case management plans
Lead interdisciplinary collaboration to ensure appropriate level of care
Conduct medical necessity reviews using approved criteria
Evaluate admission status and observation appropriateness
Perform utilization management reviews and communicate with payors
Act as liaison between physicians families care teams and external agencies
Ensure compliance with regulatory standards ethics and quality initiatives
Identify barriers to care and develop action plans for improvement
Coordinate discharge needs and post-acute services
Support under-resourced patient populations with education and community resources
Provide guidance for high-risk patients and chronic disease management
Track trend and resolve variances in care
Participate in performance improvement patient safety and reporting processes
Maintain punctual dependable attendance
Perform additional duties as assigned
Minimum 3 years of recent Case Management experience in an acute care setting (within the last year)
OR 3 years of experience in Med/Surg Telemetry Neuro ICU PCU or ED
Candidates with Home Health or Insurance Case Management experience considered if they have:
3 years of total acute care experience
At least 1 year of acute care experience within the last 5 years
Associates Degree or Diploma in Nursing required
BSN preferred
Current Florida RN license or compact license
Compact holders must obtain Florida license within 90 days
APRN license acceptable if current and compliant
Case Management or Utilization Review certification preferred
Reports to the Director of Case Management
Hourly Range:
$31.94/hr -
$43.92/hrShift Differentials:
Differentials stack for up to $4.50/hr
$10000