RN Case Manager: Lead Care Coordination & Review

Jupiter Med; Florida; On-site; USD 70,000 - 95,000; Full time

Job summary

Jupiter Medical Center in Palm Beach County, FL, is seeking an experienced RN Case Manager to lead the interdisciplinary team and coordinate patient care from admission to discharge. You will collaborate with physicians, nurses, discharge planners, and insurers to ensure appropriate treatment and admission status while upholding regulatory standards.

The role emphasizes utilization review, performance improvement participation, and strong communication, clinical judgment, and problem-solving to

Qualifications

• RN with current Florida licensure and BLS certification.
• Minimum 3 years acute health care nursing experience.
• Strong interpersonal, communication, and coordination skills.

Responsibilities

• Lead the interdisciplinary team to coordinate patient care.
• Interact with physicians, nurses, discharge planners, insurers to ensure proper admission status.
• Assess plans, coordinate, and evaluate patient needs.
• Complete utilization review activities to ensure payor compliance and participate in performance improvement.

Skills

Acute nursing experience

Critical thinking skills

Decisive judgment

Interpersonal skills

InterQual or Milliman criteria

Federal and State regulations

Education

RN licensure in Florida

BSN preferred

Tools

InterQual

Milliman

Job description

Jupiter Medical Center in Palm Beach County, FL, is seeking an experienced RN Case Manager to lead the interdisciplinary team and coordinate patient care from admission to discharge. You will collaborate with physicians, nurses, discharge planners, and insurers to ensure appropriate treatment and admission status while upholding regulatory standards.

The role emphasizes utilization review, performance improvement participation, and strong communication, clinical judgment, and problem-solving to