Case Management Nurse: Elevate Patient Care & Coordination

Solis-Health-Plans; Florida; On-site; USD 63,000 - 77,000; Full time

Job summary

Solis Health Plans is seeking a Case Management Nurse (RN) to support members with complex medical needs and navigate the healthcare system. The role is fully onsite in Miami, FL, Monday through Friday, with a comprehensive benefits package starting on the first of the month after hire.

Qualifications include an active Florida RN license, 3 years of clinical RN experience, and certification in case management or care coordination.

Qualifications

• Nursing degree from an accredited program; active Florida RN license required.
• 3 years of RN clinical experience preferred.
• Certification in care coordination/Case Management preferred.
• Strong interpersonal and communication skills for interacting with patients, families, and care teams.
• Knowledge of evidence-based clinical guidelines and quality improvement methods.

Responsibilities

• Assess patients with complex needs across physical, psychological, social, and environmental domains.
• Develop individualized care plans aligned with patient goals and guidelines.
• Coordinate care across hospitals, primary and specialty clinics, and home care.
• Educate patients on self-management, medications, and preventive care.
• Participate in quality improvement initiatives and evaluate care effectiveness.
• Document assessments, plans, and outcomes in electronic health records.
• Collaborate with physicians, social workers, pharmacists, and other care managers.
• Support utilization management to ensure appropriate services and reimbursement.

Skills

Interpersonal skills

Communication skills

Critical thinking

Problem-solving

Decision-making

Education

Nursing degree

Florida RN license

Case management certification

Job description

Solis Health Plans is seeking a Case Management Nurse (RN) to support members with complex medical needs and navigate the healthcare system. The role is fully onsite in Miami, FL, Monday through Friday, with a comprehensive benefits package starting on the first of the month after hire.

Qualifications include an active Florida RN license, 3 years of clinical RN experience, and certification in case management or care coordination.