RN Case Manager

Healthcare Recruitment Partners

RN Case Manager

Orlando, FL
Full Time
Paid
  • Responsibilities

    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:

    Required:

    • Registered Nurse (RN) with acute hospital nursing experience
    • Associate Degree in Nursing (ADN)
    • Prior hospital experience in Care/Utilization Management in an Acute Hospital Setting

    Preferred:

    • Bachelor's or Master’s in Nursing (BSN/MSN)
    • Certification in Case Management (CCM/ACM)

    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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