Part-Time RN: Care Coordination & Discharge Planning

GuideWell; Jacksonville (FL); Hybrid; USD 71,000 - 116,000; Part time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Retirement Plan

Paid Time Off

Job summary

GuideWell is seeking a part-time Registered Nurse (CRN) to support care coordination across hospital, SNF, LTAC and rehab settings. The role focuses on benefit determination, medical necessity and appropriate level of care, with responsibilities including discharge planning and collaboration with care teams.

The position offers a hybrid work arrangement with occasional travel within Florida, and requires an unrestricted US RN license plus Florida licensure or compact state licensure.

Qualifications

• 2+ years related work experience.
• Unrestricted US Registered Nurse license.
• Florida State Licensure and/or Compact State Licensure.
• Experience in home health care, rehab, SNF, utilization review, discharge planning or case management.
• Case Management activities focusing on acute and non-acute services, outpatient services and/or community resources.

Responsibilities

• Serve as a point of contact for providers to assist in navigating members through the continuum, educate regarding benefits, identify candidates for Care Programs and provide information pertaining to the network and network access.
• Evaluate members in the Hospital, Skilled Nursing Facility, LTAC, Acute Inpatient Rehab for benefit determination, medical necessity and appropriate level of care utilizing member benefits and InterQual or other medical necessity criteria.
• Participate in weekly case review.
• Determine member's discharge status and identify and coordinate any additional needs and services that require ongoing Care Coordination services.
• Collaborate with Medical Directors, Managers, Co-workers and other departments including Case Management and Care Partners.

Skills

Clinical judgment

Case management

MS Word

Excel

Education

Bachelor’s degree Nursing, Healthcare or Business

Tools

MS Word

Excel

Job description

GuideWell is seeking a part-time Registered Nurse (CRN) to support care coordination across hospital, SNF, LTAC and rehab settings. The role focuses on benefit determination, medical necessity and appropriate level of care, with responsibilities including discharge planning and collaboration with care teams.

The position offers a hybrid work arrangement with occasional travel within Florida, and requires an unrestricted US RN license plus Florida licensure or compact state licensure.