RN Case Manager

Location: Tampa, FL
Date Posted: 11-01-2018
Case Management Nurse (RN) - Managed Care
Tampa, FL
**Full-Time, Benefits Available CONTRACT opportunity, expected to last around 4 months! **
Case Manager Job Summary:
  • The RN Case Manager will be responsible for the development of patient focused care delivery plans, along with coordinating, monitoring and evaluating the execution of the plans. 
  • The Case Manager will act as a patient advocate and navigator by facilitating continuity of patient care and care transitions with external healthcare organizations and facilities. 
  • The Case Manager will monitor the delivery of care by documenting care, identifying progress toward desired care outcomes and intervening to overcome deviations from the plan. 
  • They will assist staff in maintaining balance between the needs of the patient, physician(s) and contracted health plan.
  • The position will assist with data collection, health outcomes reporting and clinical audits.
  • The coordinator is also responsible for monitoring utilization and, if necessary, discuss utilization of services with provider and recommending alternative options when appropriate.
  • Develops and executes interdisciplinary care delivery plans by facilitating continuity of care and managing care transitions with external entities/physicians.
  • Monitors delivery of patient care by documenting care, verifying findings and reports, identifying progress or deviation from the plan, intervening to overcome deviation in the plan, and communicating regular updates to the appropriate caregivers.

Case Manager Background: 
  • Valid, unrestricted state Registered Nurses (R.N.) license.
  • Prefer candidates that have a Bachelors of Science in Nursing, or related field.
  • Certification in Case Management (CCM or ACM) is always a plus.
  • Roughly 3-5 years of hospital, acute care clinical nursing experience.
  • At least 1-2 years’ of case management experience with an MCO/ACO/TPA.
  • Around 2-3 years’ experience in a Managed Care Organization (Health Plan/HMO/MSO/TPA/IPA/etc).
  • Experience working with Federal and State assistance programs, including Medicare Star Ratings.
  • Strong oral and written communication skills; ability to interact within all levels of the organization as well as with external contacts.
  • Possess planning, organizing, conflict resolution, negotiating and interpersonal skills.
  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.
Erik Berg
443.470.8240 (CALL – TEXT – FAX)
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