RN Care Manager

New Yesterday

R N 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.
Qualification s:
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
?A member of the Sanford Rose Associates® network of offices? America's Best Professional Recruiting Firms | Forbes 2024
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Location:
Apopka
Category:
Healthcare

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