Case Manager RN

Pyramid Consulting, Inc; Tallahassee (FL); On-site; USD 66,000 - 91,000; Full time

Benefits offered by this job

Health insurance

Dental & vision

401(k) match

Tuition reimbursement

Paid time off

Job summary

Pyramid Consulting, Inc. is seeking a Case Manager RN in Tallahassee, FL. This fulltime onsite role offers a comprehensive benefits package and long-term potential, with a 40-hour work week.

Required RN licensure in Florida or compact licensure with activation within 90 days, plus 3 years of recent case management/acute care experience. Education includes an ADN; a BSN is preferred.

Qualifications

• Minimum 3 years of RECENT Case Manager experience in an acute care setting required.
• Active FL RN license or compact licensure with FL license within 90 days.
• Bachelor's degree in Nursing preferred; ADN required.

Responsibilities

• Perform comprehensive assessment of psychosocial and medical needs of assigned patients.
• Develop case management plan of care including clinical, psychosocial, and discharge needs.
• Lead interdisciplinary team meetings to manage care, level of care, and resource use.
• Evaluate admissions for medical necessity using approved criteria.
• Coordinate with third party payors and community resources for referrals.
• Identify high-risk patients and plan post-discharge services.

Skills

Case management

RN license

Interdisciplinary teamwork

Clinical assessment

Care coordination

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing preferred

Tools

EMR

Job description

Immediate need for a talented Case Manager RN. This is a Fulltime opportunity with long-term potential and is located in Tallahassee, FL(Onsite). Please review the job description below.

Job ID: 26-24912

Pay Range:

• Hourly Rate: $31.94 – $43.92/hr (based on experience)
• Evening Shift Differential: $2.50/hr
• Differentials Stack: Working evening shift on weekend = $4.50/hr extra on top of base pay!
• Relocation Assistance: Case by case basis
• No Sign-On Bonus
• Scheduled Hours: 40 hours per week

Key Responsibilities:

• Perform comprehensive assessment of psychosocial and medical needs of assigned patients
• Develop case management plan of care including clinical, psychosocial, and discharge needs
• Assume leadership role with interdisciplinary team to manage care, level of care, and resource utilization
• Conduct interdisciplinary team meetings for collaboration and planning
• Evaluate admissions for medical necessity using approved criteria
• Perform utilization management reviews and communicate with third party payors
• Act as liaison between physicians, patient/family, hospital staff, and outside agencies
• Make appropriate referrals to third party payer disease and case management programs
• Track and trend barriers to care; make recommendations for process improvement
• Assess patients' post-discharge needs and facilitate services to meet those needs
• Identify patients with high risk complications and make appropriate referrals
• Develop individual plans of care for recurring patients
• Comprehensive benefits package available, including:
• Comprehensive medical coverage – many common services at no cost or low copay
• Prescription drug and behavioral health coverage
• Free telemedicine services and free AirMed medical transportation
• Dental and vision benefits
• Life and disability coverage
• Flexible Spending Accounts
• 401(k) Plan with 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% discount
• Family support – fertility and family building benefits with Progyny, adoption assistance
• Referral services for child, elder, and pet care
• Education assistance – tuition reimbursement, student loan support, certification support
• Time Away From Work Program – paid time off, paid family leave, disability coverage
• Employee Health Assistance Fund – free employee-only coverage based on income.

Key Requirements and Technology Experience:

• Minimum 3 years of RECENT (within the last year) Case Manager experience in an acute care setting required
• OR: 3 years of recent experience in Med/Surg, Tele, Neuro, ICU, PCU, or ED
• OR: Case Manager experience in home health or insurance with 3 years total acute care experience AND at least 1 year of acute care experience within the last 5 years
• Education: Associate's Degree in Nursing or Diploma in Nursing required
• Education: Bachelor's Degree in Nursing preferred
• License: Current FL RN license required OR compact licensure with active FL RN license within 90 days of hire
• Advanced Practice Registered Nurse (APRN) license acceptable if current and compliant
• Certification in Case Management, Nursing, or Utilization Review preferred
• Regular, punctual, and dependable attendance required

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.