Care Manager RN

Community Health Systems; Key West (FL); On-site; USD 68,000 - 90,000; Full time

Benefits offered by this job

Health Insurance (Medical, Dental, Vis

401(k) with matching

Student Loan Repayment: Up to $20,000

Educational Assistance

Paid Time Off

Competitive salary and comprehensive

Job summary

Community Health Systems in Key West, FL is seeking a Behavioral Health Care Manager RN to coordinate and oversee discharge planning, transitions of care, and case management activities to support optimal patient outcomes.

You will review medical records for appropriateness and medical necessity, collaborate with interdisciplinary teams, and ensure compliance with federal, state, and accreditation standards. Strong communication and EMR skills are essential.

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.

Responsibilities

• Reviews daily medical records to assess admission and utilization of diagnostic services.
• Collaborates with interdisciplinary teams to coordinate patient care and transitions.
• Develops and implements discharge plans and post-hospital placement.
• Refs cases to physicians or managers when criteria are not met.
• Serves as liaison with community agencies to facilitate transitions.
• Facilitates interdisciplinary meetings to address patient care needs.
• Maintains accurate documentation of case management activities and referrals.
• Provides assistance to patients, families, and physicians regarding discharge planning.
• Performs other duties as assigned and maintains reliable attendance.
• Complies with all policies and standards.

Skills

Case management

Discharge planning

Transitions of care

EMR documentation

Communication skills

Organizational skills

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing preferred

Tools

EMR systems

Job description

Behavioral Health Care Manager RN

Position Type: Full Time Days

Benefits:

• Health Insurance (Medical, Dental, Vision)
• 401(k) with matching
• Student Loan Repayment: Up to $20,000
• Educational Assistance
• Paid Time Off
• Competitive salary and comprehensive benefits package.

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.
• Refs 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