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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