Case Management Manager RN

Nursing Pro Staffing; Orange Park (FL); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Sign-on bonus up to 10k

Relocation assistance up to 10k

Job summary

A healthcare staffing agency is seeking a Case Management Manager RN in Orange Park, FL. This full-time position offers normal business hours, Monday to Friday, with no weekends. You'll manage Utilization Management functions, ensure compliance with standards, and support resource management strategies. The ideal candidate has a Bachelor’s Degree, an active RN license, and at least 2 years of experience in acute care, including leadership roles. A sign-on bonus and relocation assistance are available.

Qualifications

• Bachelor’s Degree required.
• Licensed as a Registered Nurse in the State or hold Compact/Multi-State RN License.
• 2+ years of related experience in an acute care setting required.
• 1+ years of supervisory/leadership experience.

Responsibilities

• Ensure compliance with Joint Commission, Local FI, and CMS standards.
• Evaluate staff performance and provide effective coaching.
• Manage the Revenue Integrity Department and its staff.
• Plan future needs by budget preparation and monitor reports.
• Budget preparation and monthly monitoring to stay within budget.

Skills

Resource Management

Discharge Planning

Quality Control

Utilization Review

Coaching and Performance Evaluation

Education

Bachelor’s Degree

Licensed as a Registered Nurse

Job description

About the job Case Management Manager RN

Normal Business hours role

Monday to Friday- no weekends

You may work extended hours if needed max 46hr per week.

No Evening or Nights

Sign on 10k depending on interview and experience

Relocation: up to 10k depending on distance and location

Position Summary:

This position requires knowledge of Resource Management, under and over utilization, discharge planning, Medicare and government payer regulations, quality control and process improvement activities as related to Utilization Management. Supports the facility by ensuring effective and efficient utilization review and discharge planning services to all patients, as needed. Assures compliance with requirements or standards pertaining Joint Commission, Local Fl, and CMS. Oversee and manage the Utilization Management functions and staff.

What you will do in this role:

• You will be responsible for assuring compliance with requirements or standards pertaining to Joint Commission, Local FI, and CMS.
• You will ensure effective, flexible utilization of staff within staffing guidelines, taking into consideration the staffs competency and patient acuity.
• You will evaluate staff performance and work‑related behavior per policies, obtaining information from appropriate personnel utilizing effective coaching to enhance the performance of the employee.
• You will be responsible for managing the Revenue Integrity Department and its staff.
• You will demonstrate effectiveness in planning for future needs by budget preparation on an annual basis, monitoring monthly reports to ensure that the department stays within budget constraints.
• Licensed as a Registered Nurse in the State in which you practice or must hold Compact/Multi‑State RN License.
• Bachelor’s Degree required.
• 2+ years of related experience in an acute care setting required; 1+ years of supervisory/leadership experience.