RN Case Manager: Care Coordination & Discharge

NurseRemotely; United States; Remote; USD 75,000 - 105,000; Full time

Job summary

The University of Miami Health System is seeking a full-time Case Manager RN to coordinate interdisciplinary care from admission to discharge, evaluating patient needs and resources while liaising with patients, families, clinicians, and insurers.

The role emphasizes developing discharge plans, facilitating insurance authorization, ensuring timely care, and improving quality outcomes. Requires a Bachelor’s degree and RN license with at least two years of relevant experience.

Qualifications

• Bachelor’s degree required.
• RN license in good standing.
• Minimum 2 years of relevant experience.
• Strong communication and problem-solving abilities.

Responsibilities

• Identifies risk factors or obstacles to care, discharge and readmission risk.
• Evaluates care plans through chart review and patient interviews with medical team.
• Educates patients and families on progression of care.
• Liaises between patients, families and healthcare personnel to ensure care is provided promptly and effectively.
• Promotes quality care and medically appropriate services.
• Facilitates ongoing insurance authorization for continued stay.
• Notifies and secures patient signatures per policy.
• Maintains knowledge of insurance reimbursement policies.
• Plans discharge and transition care meeting physical, social and emotional needs.

Skills

Communication

Problem solving

Prioritization

Interpersonal skills

Education

Bachelor's Degree

Job description

The University of Miami Health System is seeking a full-time Case Manager RN to coordinate interdisciplinary care from admission to discharge, evaluating patient needs and resources while liaising with patients, families, clinicians, and insurers.

The role emphasizes developing discharge plans, facilitating insurance authorization, ensuring timely care, and improving quality outcomes. Requires a Bachelor’s degree and RN license with at least two years of relevant experience.