Care Coordination RN - Discharge & Utilization (Hybrid)

Florida Blue Group; Florida; Hybrid; USD 71,000 - 116,000; Full time

Benefits offered by this job

Medical insurance

Dental and vision coverage

Retirement plan

Paid time off

Disability programs

Hybrid work model

Job summary

Florida Blue Group is seeking a Registered Nurse to join our Care Coordination Network. You will help navigate members through the continuum of care, evaluate benefits and determine appropriate levels of care, and participate in case reviews to support smooth hospital-to-home transitions.

The role requires Florida RN licensure, 2+ years of relevant hospital-based experience, and familiarity with discharge planning and case management.

Qualifications

• 2+ years related work experience with recent clinical hospital experience.
• Bachelor's degree in Nursing or related equivalent.
• Registered Nurse license for Florida (or Compact State licensure).
• Experience in home health, rehab, SNF, utilization review, discharge planning or case management.
• Ability to travel occasionally within Florida.

Responsibilities

• Serve as contact for providers to navigate members through continuum of care.
• Evaluate benefit determination and appropriate level of care using criteria.
• Participate in weekly case review and coordinate discharge planning.
• Collaborate with Medical Directors, Managers and Case Management.

Skills

RN licensure

Case management

Discharge planning

Healthcare experience

MS Word

Excel

Education

Bachelor's degree in Nursing

Tools

MS Word

Excel

Job description

Florida Blue Group is seeking a Registered Nurse to join our Care Coordination Network. You will help navigate members through the continuum of care, evaluate benefits and determine appropriate levels of care, and participate in case reviews to support smooth hospital-to-home transitions.

The role requires Florida RN licensure, 2+ years of relevant hospital-based experience, and familiarity with discharge planning and case management.