Case Manager RN

CoreHire; Tallahassee (FL); On-site; USD 65,000 - 80,000; Full time

Job summary

A healthcare provider in Tallahassee, FL, is seeking an experienced Case Manager RN to oversee interdisciplinary care plans within a 288-bed acute care setting. The role focuses on quality outcomes, discharge planning, and patient education. Candidates should have at least 3 years of case management experience in acute care and a current Florida RN license. This position offers the opportunity to support diverse patient populations and improve care coordination in a vibrant healthcare environment.

Qualifications

• Minimum 3 years of recent Case Management experience in an acute care setting.
• At least 1 year of acute care experience within the last 5 years.
• Compact holders must obtain Florida license within 90 days.

Responsibilities

• Perform comprehensive assessments of medical and psychosocial needs.
• Develop and coordinate individualized case management plans.
• Conduct medical necessity reviews using approved criteria.

Skills

Case Management

Patient Coordination

Interdisciplinary Collaboration

Medical Necessity Reviews

Utilization Management

Education

Associates Degree or Diploma in Nursing

BSN preferred

Current Florida RN license

Job description

Available Shift

Evening Shift: 12:00 PM 8:30 PM EST

Job Summary

We are seeking an experienced Case Manager RN to join a 288‑bed acute care setting serving Leon and Gadsden Counties. This facility offers a wide range of services including Emergency Care, Behavioral Health, Cancer Services, Heart & Vascular Care, Orthopedics, NICU, Rehabilitation, Surgical Services, Stroke Care, Imaging, and more.

The RN Care Coordinator is responsible for overseeing the interdisciplinary plan of care, ensuring medical necessity, appropriate resource utilization, and timely patient throughput. This role is focused on achieving quality outcomes while coordinating safe, efficient, and effective discharge planning.

Key Responsibilities

• Perform comprehensive assessments of medical and psychosocial needs
• Develop, document, and coordinate individualized case management plans
• Lead interdisciplinary collaboration to ensure appropriate level of care
• Conduct medical necessity reviews using approved criteria
• Evaluate admission status and observation appropriateness
• Perform utilization management reviews and communicate with payors
• Act as liaison between physicians, families, care teams, and external agencies
• Ensure compliance with regulatory standards, ethics, and quality initiatives
• Identify barriers to care and develop action plans for improvement
• Coordinate discharge needs and post‑acute services
• Support under‑resourced patient populations with education and community resources
• Provide guidance for high‑risk patients and chronic disease management
• Track, trend, and resolve variances in care
• Participate in performance improvement, patient safety, and reporting processes
• Perform additional duties as assigned

Qualifications

• Minimum 3 years of recent Case Management experience in an acute care setting (within the last year)
• OR 3 years of experience in Med/Surg, Telemetry, Neuro, ICU, PCU, or ED
• Candidates with Home Health or Insurance Case Management experience considered if they have:
• 3 years of total acute care experience
• At least 1 year of acute care experience within the last 5 years
• Associates Degree or Diploma in Nursing required
• BSN preferred
• Current Florida RN license or compact license
• Compact holders must obtain Florida license within 90 days
• APRN license acceptable if current and compliant
• Case Management or Utilization Review certification preferred

Reporting Structure

Reports to the Director of Case Management