*Nurse Case Manager II - Transition OD Care RN

A-Line Staffing Solutions; Tallahassee (FL); Remote; USD 80,000 - 100,000; Full time

Job summary

A-Line Staffing Solutions is seeking a Nurse Case Manager II for the Tampa area, focused on managing transitions to community care. The candidate will engage in clinical assessments, coordinate services, and ensure member satisfaction, requiring an active RN license and bilingual skills.

Qualifications

• Minimum 2 years of clinical experience required.
• Proficiency with computer skills to navigate multiple systems.
• Ability to work in a fast-paced environment.

Responsibilities

• Conducts assessments and transitions NH members to the community.
• Completes telephonic/in-person member contact and follow-ups.
• Coordinates provision of services and establishes Plans of Care.

Skills

Bi-Lingual Spanish/English

Critical thinking

Clinical assessment

Communication

Education

Active, unrestricted RN license in Florida

Associate Degree

BSN preferred

Job description

*Nurse Case Manager II - Transition OD Care RN

*Nurse Case Manager II - Transition OD Care RN

4 days ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Job Title: Nurse Case Manager II - Transition OD Care RN Address: Tampa, FL Hours: M–F, 8:00am – 5:00pm (Full Time) Job Description

• Applies critical thinking and evidence-based clinical criteria to support contractual rebalancing goals.
• Completes at least 10 NF member assessments weekly.
• Supports the Health Plan Rebalancing Initiative goal of successful transitions.
• Assesses, identifies, screens, and transitions NH members into the community.
• Follows up on CM referrals and visits current NH members in-person at least twice a week.
• Completes telephonic or in-person contact to assess the home prior to discharge.
• Conducts an in-person Significant Change Visit with member and Rep if applicable within 5 days of transition.
• Coordinates provision of services as needed, establishes Plan of Care, and documents all actions taken.
• Contacts facility's Business Office once a week to follow up on members' census.
• Works collaboratively with case managers to identify high-risk community members.
• Drives enhanced value of health care to increase member satisfaction and retention.
• Engages in building strong relationships that contribute towards member satisfaction and retention.
• Involved in at least two community relations events per year.
  
  

Critical Information

• Candidate must reside in the Tampa area and be able to travel to facilities within the regions/neighboring counties.
• Local travel up to 75% required.
• Prior CVS/Aetna work experience: No.
• Verifyable High School Diploma or GED Required: Yes.
• Is this request for Peak Season? N/A - Not RAMP Related.
• Onsite Requirements: Fully remote (never coming onsite).
  
  

Education/Licenses Needed

• Active, unrestricted, and good standing RN license in the state of Florida.
• Education: Associate Degree Required and BSN preferred.
• Minimum 2 years of clinical experience required.
• Bi-Lingual Spanish/English required.
• Position requires proficiency with computer skills, including navigating multiple systems.
• Ability to work in a fast-paced environment.
  
  

This is an AI-generated job description, therefore this does not remove human decision-making. ```

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider

• Industries

  Staffing and Recruiting

Referrals increase your chances of interviewing at A-Line Staffing Solutions by 2x

Sign in to set job alerts for “Case Management Nurse” roles.

Tallahassee, FL $35.50-$37.50 8 months ago

Staff - Registered Nurse (RN) - Orthopedics - $27-39 per hour

Tallahassee, FL $54,095.00-$116,760.00 4 days ago

Staff - Registered Nurse (RN) - Oncology - $27-39 per hour

Registered Nurse - RN / Case Management Exp - CM-EXP

Travel Registered Nurse Long Term Acute Care

Travel Registered Nurse Long Term Acute Care

Tallahassee, FL $35.50-$36.00 7 months ago

Staff - Registered Nurse (RN) - ICU - Intensive Care Unit - $27-39 per hour

Home Health Care Flex Registered Nurse (HHC RN Flex)

Tallahassee, FL $62,306.00-$93,123.00 5 months ago

Staff - Registered Nurse (RN) - ICU - Intensive Care Unit - $42-44 per hour

Tallahassee, FL $1,931.28-$1,931.28 1 day ago

Staff - Registered Nurse (RN) - Med Surg - $40 per hour

Tallahassee, FL $2,000.00-$2,700.00 2 days ago

Staff - Registered Nurse (RN) - ED - Emergency Department - $27-39 per hour

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.