Full-Time - Case Management Manager

Live Well Homecare; Florida; On-site; USD 85,000 - 110,000; Full time

Job summary

Live Well Homecare in Florida seeks an experienced Nurse Case Manager to lead day-to-day case management and discharge planning, ensuring care quality and regulatory adherence.

The role requires collaborating with payers and a multidisciplinary team to optimize patient flow, apply Interqual/Milliman guidelines, and drive performance improvements in a high-stress environment.

Qualifications

• Minimum three years in case management with at least two years in leadership.
• Nursing degree or BSN required; case management certification preferred.

Responsibilities

• Oversee case management and discharge planning daily, ensuring quality and regulatory compliance.
• Understand payer guidelines and collaborate with multi-disciplinary teams to optimize patient flow.
• Demonstrate critical thinking, effective communication, decisive judgment in stressful environments.
• Know state/federal regs, hospital information systems, staff development, and performance improvement; Interqual/Milliman guidelines.

Skills

Critical thinking

Effective communication (verbal and  |

Education

Nursing degree/BSN

Case management certification preferred

Job description

Responsibilities

• day-to-day oversight and coordination of case management and discharge planning functions, ensuring patient care meets quality and efficiency standards while complying with regulatory requirements.
• understanding of payer guidelines and collaboration with multi-disciplinary teams to optimize patient flow.
• Key skills include critical thinking, effective communication (verbal and written), decisive judgment, and the ability to work independently in stressful environments.
• Must possess knowledge of State and Federal regulations, hospital information systems, staff development, and performance improvement processes. Proficiency with Interqual or Milliman guidelines and process improvement and performance monitoring is essential.

Requirements

• Required experience includes a minimum of three years in case management and at least two years in leadership roles within case management. Education should include a nursing degree or BSN, with case management certification preferred.