Demo

RN Care Manager

Healthcare Recruitment Partners
Kissimmee, FL Full Time
POSTED ON 2/20/2025
AVAILABLE BEFORE 5/16/2025

Job Description

Job Description

RN Case Manager – Acute Hospital

Southern 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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