RN Case Manager: Care Coordination Leader

Jupiter Medical Center Physicians Group, Inc.; United States; On-site; USD 80,000 - 100,000; Full time

Job summary

Jupiter Medical Center is seeking an RN Case Manager to lead an interdisciplinary care team, coordinating patient plans and ensuring appropriate admission status. You will interact with physicians, nurses, discharge planners, and insurers to secure necessary treatment and services.

Responsibilities include assessing needs, coordinating care, and participating in utilization review to meet state, federal, and payor requirements. Strong communication and teamwork are essential.

Qualifications

• RN licensure in Florida (required).
• BLS certification (American Heart Association) for Healthcare Providers.
• Minimum 3 years acute care nursing experience.
• Knowledge of InterQual or Milliman admission criteria.
• Familiarity with Federal and State regulations.

Responsibilities

• Lead the interdisciplinary team in patient care coordination and discharge planning.
• Engage with physicians, nurses, discharge planners, insurance providers and others to ensure appropriate admission status.
• Assess, plan, coordinate and evaluate patient needs and services.
• Perform utilization review activities to ensure compliance with payor requirements.
• Contribute to performance improvement initiatives related to patient care.

Skills

Interpersonal skills

Critical thinking

Decisive judgment

Communication effectively

Emotional intelligence

Team collaboration

Change management

Diversity and inclusion

Rapport building

Education

BSN preferred

Tools

InterQual

Milliman

Job description

Jupiter Medical Center is seeking an RN Case Manager to lead an interdisciplinary care team, coordinating patient plans and ensuring appropriate admission status. You will interact with physicians, nurses, discharge planners, and insurers to secure necessary treatment and services.

Responsibilities include assessing needs, coordinating care, and participating in utilization review to meet state, federal, and payor requirements. Strong communication and teamwork are essential.