RN Home Health Case Manager - Flexible Schedule

BayCare Health System; Largo (FL); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Room to grow

Top Workplace 2025

Job summary

BayCare HomeCare in Largo is seeking an RN Case Manager - Home Health to coordinate patient care with a focus on quality, cost-effectiveness, and strong customer service. The role is PRN with hybrid work options.

The ideal candidate will hold Florida RN licensure, a nursing diploma, and prefer case management experience. This position is part of BayCare HomeCare, a division of BayCare Health System, located in Largo, FL.

Qualifications

• RN license in Florida.
• Associate's or Technical Diploma in Nursing.
• Case management experience preferred.

Responsibilities

• Ensure delivery of quality cost-effective health care through daily utilization review activities.
• Provide individualized case management for patients with complex medical needs.
• Review intake referrals and coding to ensure proper reimbursement from payors.
• Process referrals and orders for authorization.
• Assess clinical appropriateness and safety for home health services.
• Obtain authorizations from MCO payors.
• Promote evidence-based clinical care and clinical excellence.

Skills

Clinical case management

Utilization review

Customer service

Education

RN license (Florida)

Associate's or technical nursing diploma

Job description

BayCare HomeCare in Largo is seeking an RN Case Manager - Home Health to coordinate patient care with a focus on quality, cost-effectiveness, and strong customer service. The role is PRN with hybrid work options.

The ideal candidate will hold Florida RN licensure, a nursing diploma, and prefer case management experience. This position is part of BayCare HomeCare, a division of BayCare Health System, located in Largo, FL.