Case Manager RN - Tampa and Jacksonville

Location: Jacksonville
Posted on: January 14, 2021

Job Description:

Location is preferred for Tampa but will now consider Jacksonville.

Current Florida RN license

Current Florida RN license

3+ years of clinical experience in a hospital setting

Experience in two or more of the following: home health care, rehab, utilization review, discharge planning and case management

Experience with the Healthcare Industry (Managed Care)

Experience collaborating with Medical Doctors, Managers, Co-workers and other departments to reach a resolution/decision regarding care

Experience with Case Management --Plan, implement, coordinate and monitor Case Management activities that focus on acute and non-acute services, outpatient services and/or community resources for all lines of business

Proficient in MS Word and Excel

Job duties include but are not limited to the following:

Engage, communicate with and patients onsite and telephonically with a focus on health coaching, patient education and coordination of care for members. Improve the health and efficiency of patient-centered care

Plan, implement, coordinate and monitor Case Management activities that may include acute and non-acute services, outpatient services and or community resources for all lines of business

Collaborate with Medical Directors, Managers, Co-workers and other departments.

Provide education and tools to promote self-management.

Facilitate access to resources to meet member?s needs

Promote healthy lifestyles, assist in strengthening the patient-physician relationship, encourage behavior and lifestyle changes to realize a better quality of life, for individuals with identified chronic conditions

Serve as a point of contact for Plan Members (including ACO members) to assist in navigating them through the continuum, educate regarding benefits, identify candidates for Care Programs and provide information pertaining to the network and network access.

Participate in weekly case review to learn and share opportunities to improve outcomes.

Job Requirements:

Must have valid driver's license and reliable transportation

Current Florida RN license

Current Florida RN license

3+ years of clinical experience in a hospital setting

Experience in two or more of the following: home health care, rehab, utilization review, discharge planning and case management

Experience with the Healthcare Industry (Managed Care)

Experience collaborating with Medical Doctors, Managers, Co-workers and other departments to reach a resolution/decision regarding care

Experience with Case Management --Plan, implement, coordinate and monitor Case Management activities that focus on acute and non-acute services, outpatient services and/or community resources for all lines of business

Proficient in MS Word and Excel

Travel up to 20% (subject to change) for on-site client meetings with occasional overnight stays

We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

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