Care Manager Registered Nurse

North-Okaloosa-Medical-Center; Crestview (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

North Okaloosa Medical Center in Crestview, FL seeks an Experienced full-time RN Care Manager with weekend rotation to coordinate discharge planning, transitions of care, and case management for optimal patient outcomes.

You will collaborate with interdisciplinary teams, review records for medical necessity, and ensure compliance with regulatory standards while maintaining thorough documentation and patient-centered care.

Qualifications

• Associate Degree in Nursing is required.
• 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting is required.
• 2-4 years of care management experience preferred.
• ACM/ CCM certification preferred.

Responsibilities

• Conduct daily reviews of medical records to assess admission necessity and utilization.
• Collaborate with interdisciplinary teams to coordinate patient care and transitions.
• Develop and implement discharge plans including post-hospital placement and social services.
• Refer cases to physicians or managers when criteria are not met for timely interventions.
• Maintain accurate documentation of case management activities and referrals.

Skills

Discharge planning

Transitions of care

Case management

EMR documentation

Communication

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing preferred

Tools

ACM/ CCM preferred

Job description

• Experienced full time RN Care Manager with weekend rotation

The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Job Summary

The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Essential Functions

• Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
• Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
• Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
• Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
• Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
• Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
• Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
• Provides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Associate Degree in Nursing required
• Bachelor's Degree in Nursing preferred
• 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required
• 2-4 years of care management experience preferred

Knowledge, Skills and Abilities

• Strong understanding of case management principles, discharge planning, and transitions of care.
• Knowledge of federal, state, and Joint Commission standards related to case management.
• Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
• Ability to assess complex situations, identify solutions, and implement care plans efficiently.
• Proficiency in electronic medical records (EMR) and documentation systems.
• Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure state licensure in state of employment or Compact state licensure required
• Accredited Case Manager (ACM) preferred
• CCM - Certified Case Manager preferred
• BLS - Basic Life Support preferred

At North Okaloosa Medical Center, we believe in providing convenient care in a comfortable setting. With the help of more than 600 employees, 150 physicians on staff and more than $12 million of recent capital upgrades and renovations, we have created a caring place where clinical expertise and advanced technology blend seamlessly with sincerity and compassion.

We pride ourselves on our unique dedication to the community hospital experience. While we believe it's vital to stay up to date with technology, we will never lose sight of what's truly important - the human interaction that is crucial to providing quality care.

Our goal is to anticipate the needs and exceed the expectations of our patients and their families, ALWAYS. North Okaloosa Medical Center stands ready to meet the healthcare needs of the region. We are very proud of the services we provide and it is our goal to make you proud to choose North Okaloosa Medical Center.

INDNUR