Case Manager - Registered Nurse - Must reside in Florida
Core
Coordinate care for injured, acute, or chronically ill members to optimize wellness, medical outcomes, and timely return to work or function.
Role type
Senior IC case manager (registered nurse)
Builds
Integrated care plans and condition management strategies for community care members
Domain
Healthcare / Case Management / Chronic Disease
Required skills
Clinical assessment, care coordination, benefit eligibility determination, plan of care development, stakeholder communication, regulatory compliance, documentation, telephonic/in-person interaction, return-to-work facilitation
Preferred skills
Certified Case Manager, CRC/CDMS/CRRN/COHN/CCM certification, travel within designated area, independent work, advanced MS Office proficiency, multi-system navigation
Technologies
MS Word, Excel, Outlook, PowerPoint, Teams, EHR portals, VPN
Responsibilities
Assess and analyze medical/vocational status of members; develop and implement plans of care; coordinate with providers, employers, and insurance carriers; facilitate benefit eligibility and return-to-work; monitor progress toward health outcomes; prepare required case work documentation; testify as required for case reports.
Seniority
Mid-Senior, hands-on IC