Manager – Case Management

Live Well Homecare Agency, LLC; Florida; On-site; USD 70,000 - 100,000; Full time

Job summary

Live Well Homecare Agency, LLC is seeking an experienced Nurse Case Manager Supervisor to oversee day-to-day case management and discharge planning, ensuring compliance with regulations and quality patient care.

The role requires leadership, strong communication, and expertise in clinical criteria, payer guidelines, and health information systems such as InterQual and Milliman guidelines.

Qualifications

• Minimum three years of case management experience.
• Two years of leadership in case management.
• RN or BSN required; Case Management certification preferred.
• Strong critical thinking and communication skills; knowledge of clinical criteria and regulatory requirements.

Responsibilities

• Collaborate with multidisciplinary teams to optimize patient flow.
• Interpret payer guidelines and ensure adherence to discharge planning regulations.
• Utilize hospital information systems and decision tools like InterQual or Milliman guidelines.
• Lead process improvements and monitor performance.
• Support staff development and make decisions in high-pressure environments.

Skills

Case management

Leadership

Communication

Critical thinking

Education

RN or BSN degree

Case Management certification (preferred)

Job description

Role Overview:

Responsible for the day-to-day oversight and coordination of case management and discharge planning functions to ensure quality and efficient patient care while complying with regulatory standards.

Key Responsibilities:

Collaborate with multidisciplinary teams to optimize patient flow, interpret payer guidelines, and ensure adherence to State and Federal discharge planning regulations. Utilize hospital information systems and clinical decision-making tools such as Interqual or Milliman guidelines. Lead process improvements, monitor performance, and support staff development. Make critical decisions in a high-pressure environment with minimal supervision.

Qualifications & Skills:

Minimum three years of case management experience and two years of leadership in case management. Requires a nursing degree (RN or BSN) with preferred certification in Case Management. Strong critical thinking, communication skills, and knowledge of clinical criteria and regulatory requirements are essential.