Care Manager

Insight Global; Apollo Beach (FL); On-site; USD 75,000 - 95,000; Full time

Job summary

Insight Global is seeking a Care Manager (RN) to lead care coordination for high-risk patients, ensuring smooth transitions and efficient resource use. The role involves collaborating with PCPs and multidisciplinary teams to improve outcomes and patient experience.

The ideal candidate is clinically strong, patient-focused, and comfortable working onsite five days a week in Dr Phillips, FL, with capacity for telephonic work as needed.

Qualifications

• Graduation from an accredited school of nursing.
• BLS / CPR certification (AHA or Red Cross; or ability to obtain within 90 days).
• Prior experience in acute clinical care or equivalent.
• Experience in care management, utilization review, or discharge planning.
• Strong knowledge of HIPAA and patient confidentiality.
• Ability to work collaboratively with providers and multidisciplinary care teams.
• Strong patient communication, organization, and multitasking skills.

Responsibilities

• Ensure continuity of care across inpatient and outpatient settings.
• Lead care management efforts in partnership with PCPs and the care team.
• Identify and follow high-risk patients across acute, SNF, custodial, and ambulatory settings.
• Coordinate treatment plans and appropriate utilization of resources.
• Conduct patient and family education related to care plans and transitions.
• Support discharge planning, follow-up appointments, home health, and community resources.
• Use disease management protocols and care pathways to optimize outcomes.
• Perform telephonic triage and motivational interviewing to support self-management.
• Document care activities in the EHR and care management systems.
• Collaborate closely with physicians, hospitalists, and extended care facilities.
• Travel locally or provide remote coverage as business needs require.

Education

RN (Registered Nurse) license

BLS/CPR certification

Acute clinical care experience

Care management/Utilization review

Discharge planning

HIPAA knowledge

Team collaboration

Patient communication

Tools

EHR systems

Care management platforms

Job description

Insight Global is seeking a Care Manager (RN) for a top healthcare services client. This individual will lead care coordination efforts for high-risk patients, ensuring smooth transitions across care settings and appropriate utilization of healthcare resources.

The ideal candidate is clinically strong, patient-focused, and comfortable working both on-site and telephonically, while partnering closely with providers and multidisciplinary care teams to improve outcomes and the patient experience.

• Ensure continuity of care across inpatient and outpatient settings
• Lead care management efforts in partnership with PCPs and the care team
• Identify and follow high-risk patients across acute, SNF, custodial, and ambulatory settings
• Coordinate treatment plans and appropriate utilization of resources
• Conduct patient and family education related to care plans and transitions
• Support discharge planning, follow-up appointments, home health, and community resources
• Use disease management protocols and care pathways to optimize outcomes
• Perform telephonic triage and motivational interviewing to support self-management
• Document care activities in the EHR and care management systems
• Collaborate closely with physicians, hospitalists, and extended care facilities
• Travel locally or provide remote coverage as business needs require

REQUIRED SKILLS AND EXPERIENCE

• Graduation from an accredited school of nursing
• BLS / CPR certification (AHA or Red Cross; or ability to obtain within 90 days)
• Prior experience in acute clinical care or equivalent
• Experience in care management, utilization review, or discharge planning
• Strong knowledge of HIPAA and patient confidentiality
• Ability to work collaboratively with providers and multidisciplinary care teams
• Strong patient communication, organization, and multitasking skills

NICE TO HAVE SKILLS AND EXPERIENCE

• Experience in an acute care setting
• Prior HMO or managed care experience
• Experience with Transitions of Care programs
• Experience working with high-risk patient populations

Location: Onsite 5 days a week in Dr Phillips