RN Case Manager
Greater Orlando Area, Florida

The RN Case Manager collaborates with patients, families, social workers, nurses, physicians, and interdisciplinary teams to ensure patient-centered Care Coordination. In the RN Case Manager role, it focuses on efficient, cost-effective care, smooth transitions, and patient satisfaction. The RN Case Manager is supervised by the Care Management Supervisor/Manager and is pivotal in discharge planning, Transitions of Care, and ensuring regulatory compliance.

Qualifications:

• Registered Nurse required
• Associate Degree in Nursing (ADN)
• Care/Case Management experience in an Acute Hospital Setting
• Bachelor's or Master’s in Nursing (BSN/MSN) preferred
• Certification in Case Management (CCM/ACM) preferred

Responsibilities:

Care Planning & Evaluation:

• Conduct initial evaluations for transition needs within one day of admission
• Review patient records (labs, medications, test results) and incorporate patient/family goals into care plans
• Develop and adapt discharge plans based on patient progress and evolving needs

Coordination & Communication:

• Participate in daily interdisciplinary rounds for Care Coordination
• Collaborate with social work for complex psychosocial cases
• Escalate care delivery barriers to leadership

Patient Support:

• Facilitate discussions about discharge options, end-of-life care, and advance directives
• Ensure accurate scheduling for follow-up appointments post-discharge
• Educate patients and families about payer requirements and potential out-of-pocket costs

Compliance & Documentation:

• Maintain accurate discharge data in EMR and compliance with Medicare requirements
• Monitor readmission risks and implement mitigation strategies

Continuous Improvement:

• Engage in performance improvement activities and maintain clinical competency
• Provide education to the healthcare team on resource utilization and regulatory standards

Key Competencies

• Care Coordination, discharge planning, and medical necessity expertise
• Knowledge of post-hospital care services (e.g., home health, hospice, outpatient services)
• Effective communication and problem-solving skills in a multidisciplinary environment

For our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.

If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.

Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292

Michelle@HCRecruiter.com
https://www.HealthcareRecruitmentPartners.com

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