Talent.com
Cooperidge Consulting Firm
Case Manager RNCooperidge Consulting Firm • Tallahassee, FL, US
Case Manager RN

Case Manager RN

Cooperidge Consulting Firm • Tallahassee, FL, US
30+ days ago
Job type
  • Full-time
  • Quick Apply
Job description

Cooperidge Consulting Firm is seeking a Case Manager Registered Nurse (RN) for a top Healthcare client.

The RN Case Manager (CM) serves as a Care Coordinator, facilitating the interdisciplinary plan of care with a focus on evaluating clinical appropriateness, medical necessity, level of care, and resource utilization. This role coordinates activities that promote quality outcomes and efficient patient throughput, identifies barriers to care, and assumes a leadership role in developing effective discharge plans.

Job Responsibilities

  • Perform comprehensive assessments of the psychosocial and medical needs of assigned patients to develop a detailed case management plan of care.
  • Evaluate admissions for medical necessity and appropriate observation status using approved criteria, escalating issues through the established chain of command as needed.
  • Assume a leadership role with the interdisciplinary team to manage care, ensuring appropriate level of care, patient status, and resource utilization are maintained.
  • Facilitate patient throughput with an ongoing focus on quality and efficiency, coordinating services necessary to meet identified post-discharge needs.
  • Track and trend variances and barriers to care, making recommendations and developing action plans to improve processes and systems across the continuum.
  • Perform utilization management reviews and communicate crucial information to third-party payors, acting as a liaison between all parties (physicians, hospital staff, outside agencies).
  • Ensure compliance with all regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives related to the provision of Case Management Services.
  • Document professional recommendations, care coordination interventions, and case management activities accurately to ensure effective communication across the healthcare team.

Requirements

Education

  • Associate's Degree in Nursing or Diploma in Nursing is required.
  • Bachelor’s Degree in Nursing is preferred.

Experience

  • Option 1 (Direct CM): Minimum of 3 years of RECENT (within the last year) Case Manager experience in an acute care setting is required.
  • Option 2 (Unit Experience): Minimum of 3 years of recent RN experience in Med/Surg, Telemetry, Neuro, ICU, PCU, or ED is required.
  • Option 3 (Non-Acute CM): Case Manager experience in home health or insurance will be considered, but requires a total of 3 years of acute care experience, with at least 1 year of that acute care experience being within the last 5 years.

Certifications/Licenses

  • Current FL RN license or appropriate compact licensure is required. If compact, an active FL RN license is required within 90 days of hire.
  • Advanced Practice Registered Nurse (APRN) license is acceptable.
  • Certification in Case Management, Nursing, or Utilization Review is preferred.

Skills

  • Proven ability to assume a leadership role with an interdisciplinary team to manage care coordination and resource utilization.
  • Strong knowledge of utilization review criteria, regulatory requirements, and discharge planning processes.
  • Effective and professional communication skills for acting as a liaison between multiple stakeholders (physicians, payors, families).

Benefits

  • Competitive pay with opportunities for overtime and weekend shifts.
  • Comprehensive medical, dental, and vision insurance.
  • Life insurance and disability coverage.
  • 401(k) retirement plan with employer match.
  • Paid time off — vacation, sick leave, and holidays.
  • Continuing education and professional development opportunities.
  • Supportive, team-oriented work environment.
Create a job alert for this search

Case Manager RN • Tallahassee, FL, US

Similar jobs

RN Free Standing ER Southwood

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

Stroke response times nearly half of the national average.Cutting-edge SPOT Technology that detects sepsis earlier than the human eye.An Enhanced Surgical Recovery program that reduces opioid presc... Show more

 • Promoted

Travel Nurse RN - Progressive Care Unit - $1,524 to $1,673 per week in Tallahassee, FL

TravelNurseSourceTallahassee, FL, US
$1,524.00 weekly
Full-time

Registered Nurse (RN) | Progressive Care Unit.TravelNurseSource is working with Host Healthcare to find a qualified PCU RN in Tallahassee, Florida, 32308!.Host Healthcare is an award-winning travel... Show more

 • Promoted

Travel Nurse RN - Cardiovascular Intensive Care Unit in Tallahassee, FL

TravelNurseSourceTallahassee, FL, US
Full-time +1

Registered Nurse (RN) | Cardiovascular Intensive Care Unit.Competitive weekly pay (inquire for details) .TravelNurseSource is working with Infojini Healthcare to find a qualified CVICU RN in Tallah... Show more

 • Promoted

RN Clinical Nurse Coordinator Gadsden ER

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

Strong staffing Support when it matters most.Technology and tools that streamline patient monitoring and communication to help you work more efficiently.Robust supply chains to keep you fully equip... Show more

 • Promoted

RN Wound Care PRN

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

Do you have the PRN career opportunities as a(an) RN  Wound Care PRN you want with your current employer? We have an exciting opportunity for you to join HCA Florida Capital Hospital which is part ... Show more

 • Promoted

RN Emergency Room Flow Facilitator

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

Strong staffing Support when it matters most.Technology and tools that streamline patient monitoring and communication to help you work more efficiently.Robust supply chains to keep you fully equip... Show more

 • Promoted

RN Clinical Nurse Coordinator Emergency Room

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

Stroke response times nearly half of the national average.Cutting-edge SPOT Technology that detects sepsis earlier than the human eye.An Enhanced Surgical Recovery program that reduces opioid presc... Show more

 • Promoted

RN Case Manager

HCA Florida Capital HospitalTallahassee, FL, US
Full-time +1

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team.Grow your career with an organization committed to delivering respectful, compassionate ... Show more

 • Promoted

RN - Home Health

Enhabit Home Health & HospiceTALLAHASSEE, Florida, US
Full-time

Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice.As a national leader in home-based care, E... Show more

 • Promoted

Travel Nurse RN - Medical-Surgical - $1,790 to $1,943 per week in Tallahassee, FL

TravelNurseSourceTallahassee, FL, US
$1,790.00 weekly
Full-time

Registered Nurse (RN) | Medical-Surgical.TravelNurseSource is working with Host Healthcare to find a qualified Med/Surg RN in Tallahassee, Florida, 32308!.Host Healthcare is an award-winning travel... Show more

 • Promoted

RN Critical Care Float

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

As the nation’s largest private employer of Registered Nurses, we’re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice.That... Show more

 • Promoted

RN Med Surg

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

Stroke response times nearly half of the national average.Cutting-edge SPOT Technology that detects sepsis earlier than the human eye.An Enhanced Surgical Recovery program that reduces opioid presc... Show more

 • Promoted

Coord Mental Health Intake RN

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

Stroke response times nearly half of the national average.Cutting-edge SPOT Technology that detects sepsis earlier than the human eye.An Enhanced Surgical Recovery program that reduces opioid presc... Show more

 • Promoted

RN Free Standing ER Gadsden

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

Strong staffing Support when it matters most.Technology and tools that streamline patient monitoring and communication to help you work more efficiently.Robust supply chains to keep you fully equip... Show more

 • Promoted

RN Case Manager Part Time

HCA Florida Capital HospitalTallahassee, FL, US
Full-time +1

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity.We care like family! Jump-start your career as a(an) RN Case M... Show more

 • Promoted

RN Clinical Manager - Home Health

Enhabit Home Health & HospiceTALLAHASSEE, Florida, US
Full-time

Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice.As a national leader in home-based care, E... Show more

 • Promoted

RN ICU

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

As the nation’s largest private employer of Registered Nurses, we’re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice.That... Show more

 • Promoted

RN Med Surg PRN

HCA Florida Capital HospitalTallahassee, FL, US
Full-time +1

Are you looking for a place to deliver excellent care patients deserve? At HCA Florida Capital Hospital we support our colleagues in their positions.Join our Team as a(an) RN Med Surg PRN and acces... Show more

 • Promoted

RN Emergency Southwood

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

As a RN Emergency Southwood, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal op... Show more

 • Promoted

RN Clinical Nurse Coordinator Med Surg

HCA Florida Capital HospitalTallahassee, FL, US
Full-time

Do you have the career opportunities as a Clinical Nurse Coordinator Med Surg you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage... Show more