RN Case Manager: Discharge Planning & Care Coordination

Jackson County Hospital District; Marianna (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Jackson County Hospital District is seeking a skilled Case Manager to perform preadmission through retrospective reviews and manage discharge planning. You will ensure appropriate stays, coordinate with physicians, and guide patients and families toward suitable post-hospital care.

The role requires Florida RN licensure or equivalent social work experience, with 3–5 years in acute care and BLS certification. Knowledge of Medicare/Medicaid and payer criteria is essential.

Qualifications

• Current Florida RN license; or social worker with acute care hospital experience.
• 3–5 years in an acute care hospital setting.
• Experience with hospital case management preferred (1–2 years).
• Working knowledge of Medicare/Medicaid/HMO and private insurance coverage.
• BLS certification.

Responsibilities

• Perform preadmission, admission, continued stay, and retrospective reviews.
• Conduct timely and orderly reviews and keep observation tracking up to date.
• Verify appropriate use of care per InterQual criteria and payer rules.
• Collaborate with Case Management Director and Physician Advisor on discharges.
• Communicate discharge planning needs with physicians and families.
• Maintain knowledge of community resources and arrange post-hospital care.

Skills

InterQual criteria knowledge

Discharge planning

Communication with physicians

Education

Florida RN license

BLS certification

Job description

Jackson County Hospital District is seeking a skilled Case Manager to perform preadmission through retrospective reviews and manage discharge planning. You will ensure appropriate stays, coordinate with physicians, and guide patients and families toward suitable post-hospital care.

The role requires Florida RN licensure or equivalent social work experience, with 3–5 years in acute care and BLS certification. Knowledge of Medicare/Medicaid and payer criteria is essential.