RN Case Manager: Care Coordination Leader

Jupiter Medical Center; Jupiter, FL; On-site; USD 70,000 - 90,000; Full time

Job summary

Jupiter Medical Center in Florida seeks an RN Case Manager to lead an interdisciplinary team, coordinate patient plans, and ensure timely access to appropriate care across admission statuses. The role interfaces with physicians, nurses, discharge planners, and insurers to optimize outcomes and payer compliance.

The ideal candidate holds Florida RN licensure with a BSN preferred, at least 3 years of acute care nursing experience, and strong knowledge of regulatory requirements and utilization

Qualifications

• Current RN licensure in Florida
• 3 years acute health care nursing experience
• Knowledge of Federal and State regulations
• Ability to work with deadlines and multiple tasks
• Knowledge of InterQual or Milliman admission criteria

Responsibilities

• Leads the interdisciplinary team to coordinate patient care.
• Interacts with physicians, nurses, discharge planners, insurance providers, and others to ensure appropriate and necessary treatment.
• Assesses plans, coordinates, and evaluates patient needs and services.
• Coordinates utilization review activities to ensure compliance with payor requirements.
• Participates in performance improvement initiatives related to patient care.
• Performs other duties as assigned.

Skills

RN licensure FL

BLS Certification

InterQual knowledge

Milliman knowledge

Interpersonal skills

Critical thinking

Decisive judgment

Time management

Regulatory knowledge

Education

BSN preferred

Graduate of accredited nursing school

Job description

Jupiter Medical Center in Florida seeks an RN Case Manager to lead an interdisciplinary team, coordinate patient plans, and ensure timely access to appropriate care across admission statuses. The role interfaces with physicians, nurses, discharge planners, and insurers to optimize outcomes and payer compliance.

The ideal candidate holds Florida RN licensure with a BSN preferred, at least 3 years of acute care nursing experience, and strong knowledge of regulatory requirements and utilization