RN Case Manager

JRA Health; Jacksonville (FL); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Disability Insurance

Job summary

JRA Health in Jacksonville, FL seeks an experienced RN Case Manager to coordinate discharge planning, utilization management, and personalized care plans that improve patient outcomes through collaboration with interdisciplinary teams.

This on-site role requires strong clinical assessment, patient education, and seamless handoffs with intake, operations, and home health partners; prior authorization support and IV setup may be involved.

Qualifications

• Minimum 3 years of inpatient clinical case management experience.
• Registered Nurse Licensure in Florida.
• Proficiency with Microsoft 365 environment (Excel, Word, Teams, Outlook, PowerPoint).

Responsibilities

• Onboard and transition patient infusion care safely with intake & operations.
• Collaborate on prior authorization clinical reviews and submissions.
• Assist billing with troubleshooting ICD-10 claim denials.
• Participate in quality assurance post-admission assessments and care planning.
• Provide bedside education and IV hookup support as needed.

Skills

Microsoft 365

Excel

Word

Teams

Education

Florida RN Licensure

Tools

Microsoft 365

Job description

JRA Health is a new and emerging home infusion provider, looking for talented individuals to assist in the organization’s focus on filling the gap in acute care home infusion services. JRA Health is licensed & accredited to provide infusion services to patients in the Florida market and beyond.

Job Description Summary:

This is an on-site, full-time role located in Jacksonville, FL, for a Registered Nurse (RN) Case Manager. The RN Case Manager will manage patient care by coordinating discharge planning, performing utilization management, supporting patients and their families, and ensuring seamless continuity of care. The role requires collaboration with interdisciplinary teams to assess medical needs, provide patient education, and develop personalized care plans aimed at optimizing health outcomes.

Job Responsibilities:

• Work with internal (intake & operations personnel) and external (case manager, referring provider, etc.) to safely and efficiently onboard and transition patient infusion care to JRA Health.
• Collaborate with authorizations team in the clinical review and submission process for prior authorizations.
• Assist billing team with troubleshooting medical ICD 10 code claim denials
• Participate in ongoing quality assurance program by completing clinical assessments post-admission to evaluate success of admission, start of care visit, and address any clinical concerns in coordination with internal (clinical, sales & ops team) and external stakeholders (home health agencies)
• Assist field team in providing bedside education & IV hookups as needed.

Required Qualifications:

• Minimum 3 years of inpatient clinical case management experience
• Registered Nurse Licensure in State of Florida
• Proficiency in Microsoft 365 environment (Excel, Word, Teams, Outlook, PowerPoint, etc.)
• Passion and empathetic approach to helping patients & referral sources
• Effective Team Player

Physical Requirements:

• Ability to communicate orally with customers, management, and other co-workers, both individually and in front of a group is crucial. Regular use of the phone and e-mail for communication is essential.
• Sitting, driving, walking, standing for extending periods. Hearing and vision within normal ranges is essential for normal conversations, to receive ordinary information and to prepare or inspect documents.
• No heavy lifting expected; occasional exertion of up to 25 lbs. of force may be required. Good manual dexterity for the use of common office equipment.

Supervisory Responsibilities:

• Does this position have supervisory responsibilities (i.e. hiring, recommending/approving promotions and pay increases, performance reviews, etc.)? – NO
• Competitive base. Salary is determined based on experience and qualifications.

• Disability Insurance

JRA Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.