Case Manager RN
Apply NowCompany: Texas Nursing Services
Location: Gainesville, FL 32608
Description:
Case Manager RN - Full-Time
Location: Gainesville, FL
Shifts Available:
We are seeking a results-driven Case Manager RN with recent acute care or LTAC experience to coordinate discharge planning, utilization review, and care transitions in a fast-paced hospital setting. This is an ideal opportunity for RNs with strong clinical backgrounds (e.g., ICU, Med-Surg) who excel at critical thinking, communication, and teamwork.Key Responsibilities
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Location: Gainesville, FL
Shifts Available:
- Day Shift: 8:00 AM - 4:30 PM (Rotating Weekends)
- Evening Shift: 12:00 PM - 8:30 PM or 11:00 AM - 7:30 PM (Monday-Friday, No Weekends)
- Hourly Rate: $32.91/hr - $45.25/hr (commensurate with experience)
- Shift Differentials: +$2.00/hr Evenings | +$2.00/hr Weekends
- Sign-On Bonus: Up to $15,000
- Relocation Assistance: Available (case by case)
We are seeking a results-driven Case Manager RN with recent acute care or LTAC experience to coordinate discharge planning, utilization review, and care transitions in a fast-paced hospital setting. This is an ideal opportunity for RNs with strong clinical backgrounds (e.g., ICU, Med-Surg) who excel at critical thinking, communication, and teamwork.Key Responsibilities
- Conduct clinical assessments and determine appropriate level of care and admission
- Lead discharge planning and coordinate transitions across the care continuum
- Perform utilization review using InterQual or other evidence-based tools
- Partner with physicians to evaluate patient progression and adjust care plans
- Provide updates on insurance status and discuss potential denials with patients/families
- Support surgery pre-admission processes and collaborate with provider offices
- Maintain accurate documentation in MIDAS and electronic health records
- Participate in interdisciplinary team (IDT) rounds and escalate care barriers
- Collaborate with social workers, payors, and the physician advisor
- Educate patients and families on discharge planning, benefits, and resources
- Assist with payor denial management and Health Insurance Notifications (HINNs)
- Stay up to date on CMS guidelines, managed care contracts, and compliance protocols
- 1+ year of recent acute care RN Case Management experience required
- OR 2-3 years of recent ICU or strong Med-Surg RN experience
- LTAC case management experience considered
- Active Florida RN license or Compact RN license (must obtain FL license within 60 days)
- BLS (AHA) required within 30 days of hire
- Associate Degree in Nursing required; BSN preferred
- Case Management, Utilization Review, or Nursing certification preferred
- Proficiency in InterQual required; experience with MIDAS a plus
- Strong communication, time management, and decision-making skills
- Be part of a high-performing team at one of the region's only Comprehensive Stroke Centers
- Excellent leadership support and career development
- No weekends required for evening shift
- Competitive total rewards package
- Comprehensive medical, dental, and vision coverage
- 401(k) with 100% match on 3%-9% of pay
- Generous PTO, family leave, and disability benefits
- Tuition reimbursement and student loan support
- Certification support and continuing education opportunities
- Employee Stock Purchase Plan (10% discount)
- AirMed emergency transport, wellness programs, and telehealth access
- Legal services, identity protection, and pet insurance
RN Case Manager, Florida Nurse Jobs, Case Management RN, Utilization Review Nurse, Hospital Discharge Planner, Acute Care RN, LTAC Nurse, Care Coordination, InterQualHashtags:
#CaseManagerRN #RNJobsFlorida #CareCoordination #UtilizationReview #HospitalCaseManagement #HiringNowRN #GainesvilleNurseJobs #AcuteCareNursing #DischargePlanning