Registered Nurse Lead Case Manager, Case Management, FT, 8A-4:30P

Baptist Health; Miami (FL); On-site; USD 87,000 - 116,000; Full time

Benefits offered by this job

Career growth

Tuition reimbursement

Wellness program

Health benefits

Job summary

Baptist Health is seeking a Lead RN Case Manager in Florida to lead case management and progression of care across departments. You will train teams, audit services, and ensure high-quality care for complex cases while coordinating with utilization review and other units.

Requirements include a Bachelor's degree, active RN license, and case management certification. Salary details reflect experience and market standards at Baptist Health.

Qualifications

• Leadership in case management and progression of care.
• Excellent communication with health care teams and patients.
• Strong organizational and time-management abilities.
• RN with relevant case management background and certification.

Responsibilities

• Lead RN Case Manager for interdepartmental development and coordination.
• Train teams and audit services to ensure quality of care.
• Coordinate care on complex cases across all units.
• Identify barriers to timely care and reimbursement and drive improvements.

Skills

Leadership skills

Verbal & written communication

Organizational skills

Time management

Interpersonal skills

Education

Bachelor's degree

Tools

Milliman Care Guidelines

Interqual criteria

Job description

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high‑performing honors.

What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we're all in.

Benefits

At Baptist Health, we’re committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a “grow our own” philosophy, designed to help our team members build meaningful, long‑term careers with us, supported by benefits that make a real difference, including:

• Career growth and development opportunities, with clear pathways and ongoing support
• Comprehensive health and wellness resources that go beyond traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible, reducing out‑of‑pocket healthcare costs
• Tuition reimbursement to support continued learning and advancement
• And so much more

Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.

Description

The Lead RN Case Manager is an individual who demonstrates leadership skills and knowledge of case management and progression of care. Strict interdepartmental development and interpersonal skills are required to effectively provide support to the RN Utilization Review and RN Case Manager teams, and maintain effective working relationships with other departments. Responsible for training teams and auditing services provided, to ensure the quality of care to patients served. This individual will be responsible for participation in staff consultations and direct coordination of care on complex cases throughout all units. Also responsible to intervene as necessary to remove barriers to timely efficient care delivery and reimbursement. Will also drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements and patient satisfaction). Estimated salary range for this position is $87006.40 - $115718.51 / year depending on experience.

Qualifications

Degrees:

• Bachelors.

Licenses & Certifications:

• ABMCM Certified Managed Care Nurse.
• NBCC Certification in Continuity of Care, Advanced.
• CCMC Case Manager.
• ANCC Nursing Case Management.
• ACMA Case Management Administrator Certification.
• NACCM Care Manager Certified.
• RNCB Certified Rehabilitation Registered Nurse.
• Registered Nurse.
• CDMS Certified Disability Management Specialist.

Additional Qualifications

• Registered Nurse License.
• A Case Management Certification is required.
• Acceptable certifications: CCM Certification of Case Management, ACCC Advanced Certification in Continuity of Care, CDMS Certified Disability Management Specialist, CMAC Case Management Administrator Certification, CMC Care Manager Certified, CMCN Certified Managed Care Nurse, CRRN Certified Rehabilitation Registered Nurse, NCM Nursing Case Management.
• Current working knowledge of transitions of care, utilization management, case management and performance improvement.
• Current working knowledge of Milliman Care Guidelines and Interqual criteria.
• Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
• Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.
• Excellent computer skills.
• Must possess excellent verbal and written communication, organizational skills, phone etiquette and interpersonal skills.
• High ethical and professional standards.

Minimum Required Experience: 2 Years

EOE, including disability/vets