RN Case Manager
Greater Orlando Area, Florida
The RN Case Manager collaborates with patients, families, social workers, nurses, physicians, and interdisciplinary teams to ensure patient-centered Care Coordination. In the RN Case Manager role, it focuses on efficient, cost-effective care, smooth transitions, and patient satisfaction. The RN Case Manager is supervised by the Care Management Supervisor/Manager and is pivotal in discharge planning, Transitions of Care, and ensuring regulatory compliance.
Qualifications:
Registered Nurse requiredAssociate Degree in Nursing (ADN)Care/Case Management experience in an Acute Hospital SettingBachelor's or Master's in Nursing (BSN/MSN) preferredCertification in Case Management (CCM/ACM) preferredResponsibilities:
Care Planning & Evaluation:
Conduct initial evaluations for transition needs within one day of admissionReview patient records (labs, medications, test results) and incorporate patient/family goals into care plansDevelop and adapt discharge plans based on patient progress and evolving needsCoordination & Communication:
Participate in daily interdisciplinary rounds for Care CoordinationCollaborate with social work for complex psychosocial casesEscalate care delivery barriers to leadershipPatient Support:
Facilitate discussions about discharge options, end-of-life care, and advance directivesEnsure accurate scheduling for follow-up appointments post-dischargeEducate patients and families about payer requirements and potential out-of-pocket costsCompliance & Documentation:
Maintain accurate discharge data in EMR and compliance with Medicare requirementsMonitor readmission risks and implement mitigation strategiesContinuous Improvement:
Engage in performance improvement activities and maintain clinical competencyProvide education to the healthcare team on resource utilization and regulatory standardsKey Competencies
Care Coordination, discharge planning, and medical necessity expertiseKnowledge of post-hospital care services (e.g., home health, hospice, outpatient services)Effective communication and problem-solving skills in a multidisciplinary environmentFor our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.
If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.
Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292
Michelle@HCRecruiter.com
https://www.HealthcareRecruitmentPartners.com
A member of the Sanford Rose Associates® network of offices
America's Best Professional Recruiting Firms | Forbes 2024
Top 10 U.S. Search Firm – Executive Search Review
RN Case Manager – Acute Hospital – Part-Time (32 Hours)
Winter Garen Area, Florida
The RN Case Manager collaborates with patients, families, social workers, nurses, physicians, and interdisciplinary teams to ensure patient-centered Care Coordination. In the RN Case Manager role, it focuses on efficient, cost-effective care, smooth transitions, and patient satisfaction. The RN Case Manager is supervised by the Care Management Supervisor/Manager and is pivotal in discharge planning, Transitions of Care, and ensuring regulatory compliance.
Qualifications:
Required:
Registered Nurse (RN) with acute hospital nursing experienceAssociate Degree in Nursing (ADN)Prior hospital experience in Care/Utilization Management in an Acute Hospital SettingPreferred:
Bachelor's or Master's in Nursing (BSN/MSN)Certification in Case Management (CCM/ACM)Responsibilities:
4x8 hour shifts 8-4:30pm with alternating weekends
1 major 1 minor holiday per year
Care Planning & Evaluation:
Conduct initial evaluations for transition needs within one day of admissionReview patient records (labs, medications, test results) and incorporate patient/family goals into care plansDevelop and adapt discharge plans based on patient progress and evolving needsCoordination & Communication:
Participate in daily interdisciplinary rounds for Care CoordinationCollaborate with social work for complex psychosocial casesEscalate care delivery barriers to leadershipPatient Support:
Facilitate discussions about discharge options, end-of-life care, and advance directivesEnsure accurate scheduling for follow-up appointments post-dischargeEducate patients and families about payer requirements and potential out-of-pocket costsCompliance & Documentation:
Maintain accurate discharge data in EMR and compliance with Medicare requirementsMonitor readmission risks and implement mitigation strategiesContinuous Improvement:
Engage in performance improvement activities and maintain clinical competencyProvide education to the healthcare team on resource utilization and regulatory standardsKey Competencies
Care Coordination, discharge planning, and medical necessity expertiseKnowledge of post-hospital care services (e.g., home health, hospice, outpatient services)Effective communication and problem-solving skills in a multidisciplinary environmentFor our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.
If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.
Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292
Michelle@HCRecruiter.com
https://www.HealthcareRecruitmentPartners.com
A member of the Sanford Rose Associates® network of offices
America's Best Professional Recruiting Firms | Forbes 2024
Top 10 U.S. Search Firm – Executive Search Review
RN Director of Case Management
Greater Newark Area, New Jersey
The RN Director of Case Management will interface with physicians, finance and nursing team members to meet organizational and corporate goals of both the hospital and the Case Management Department. The Director of Case Management will lead a team of RN Case Managers, Social Workers, and support staff to improve Care Coordination and Utilization Management of services, specifically to reduce length of stay and reduce denials.
Qualifications:
Registered Nurse required Bachelor's Degree in Nursing required with a Master's Degree or equivalentMaster's Degree in Nursing requiredAccredited Case Manager Certification (ACM) or Certified Case Management Certification (CCM) preferred Director of Case Management experience in a hospital setting requiredResponsibilities:
Serve as a clinical expert to optimize patient outcomes and length of stay metrics, all in alignment with best practices, hospital and system priorities, and regulatory requirementsMonitor and reduce the length of stay, while maintaining optimal patient outcomesProvide clinical supervision to Case Managers to ensure that Case Management intervention is consistent with departmental standards of clinical practiceSupervise outcomes management, case documentation, and case preparation activities by Case Management staff to ensure the delivery of Case Management intervention Maintain a positive leadership style with Department Directors to foster resolutionFor our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at?Michelle@HCRecruiter.com?or visit our Case Management website: https://www.HealthcareRecruitmentPartners.com/Careers.
If this opportunity is of interest or know someone that would be interested, please feel free to contact me at your earliest convenience.
Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292 | Toll Free 800-940-2313 Ext 101
Michelle@HCRecruiter.com
https://www.HealthcareRecruitmentPartners.com
A member of the Sanford Rose Associates® network of offices
America's Best Professional Recruiting Firms | Forbes 2024
Top 10 U.S. Search Firm – Executive Search Review
PRN Case Manager – Acute Hospital
West Greater Orlando Area, Florida
The RN Case Manager collaborates with patients, families, social workers, nurses, physicians, and interdisciplinary teams to ensure patient-centered Care Coordination. In the RN Case Manager role, it focuses on efficient, cost-effective care, smooth transitions, and patient satisfaction. The RN Case Manager is supervised by the Care Management Supervisor/Manager and is pivotal in discharge planning, Transitions of Care, and ensuring regulatory compliance.
Qualifications:
Registered Nurse (RN) with acute hospital nursing experience requiredAssociate Degree in Nursing (ADN) requiredPrior hospital experience in Care/Utilization Management in an Acute Hospital Setting requiredBachelor's or Master's in Nursing (BSN/MSN) preferredCertification in Case Management (CCM/ACM) preferredResponsibilities:
Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and proceduresInterviews patient and involved care givers as well as a review of the current and past inpatient and outpatient medical record in the Initial EvaluationReviews necessary patient information including labs, medications, History and Physical, Therapy notes, ED notes, test results and progress notesIncorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary teamMeets with patient/families to discuss realistic and appropriate discharge options and providers of post-hospital careIncorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patientIdentifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievementCollaborate with the multidisciplinary healthcare team daily in multidisciplinary rounds to efficiently communicateand facilitate high quality patient progression of care and transitions plansEvaluates the potential for readmissions throughout the patient stay through the monitoring of each patient's readmission risk scores and coordinating readmission mitigation interventionsConsults Social Work for specialty services related to psychosocial needs, decision making needs for patients who lack capacity, patient/family adjustment needs and psychosocially complex casesDevelops discharge plan with appropriate contingency plans throughout the hospital stay to enable adaptation to evolving patient care needs and ensure timely Care CoordinationAssists with End-of-Life conversation, Living Wills, Advance Directives, Power of Attorney, Community DNRFacilitates patient care conferences with multidisciplinary teamEstablishes and documents, based on the predicted DRG and multidisciplinary team member's input, Anticipated Date of Transition (ADOT) and destination and updatesActively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patientsProactively identifies patients who no longer meet medical necessity and escalates potential denials, documents avoidable days, and facilitates progression of careCollaborates with Utilization Management staff for collaboration on patient status changes and medical necessity discussionsEnsure patient notifications are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice, and Beneficiary Notice Letter (BNL)Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organizationFor our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.
If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.
Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292
Michelle@HCRecruiter.com
https://www.HealthcareRecruitmentPartners.com
A member of the Sanford Rose Associates® network of offices
America's Best Professional Recruiting Firms | Forbes 2024
Top 10 U.S. Search Firm – Executive Search Review
Director of Case Management
Houston, Texas
The Director of Case Management provides strategic leadership and direction for all Case Management activities, ensuring seamless collaboration with a multidisciplinary team including physicians, nurses, and hospital leadership. The Director of Case Management is pivotal in planning, managing, and evaluating Case Management departments, driving the development and implementation of standardized workflows and systems to optimize patient care and achieve organizational goals. The Director also contributes to establishing key performance indicators (KPIs) to measure success in Care Coordination, regulatory compliance, and leadership development.
Qualifications:
Responsibilities:
For our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website: https://www.HealthcareRecruitmentPartners.com/Careers
If this opportunity is of interest or know someone that would be interested, please feel free to contact me at your earliest convenience
Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292
Michelle@HCRecruiter.com
https://www.HealthcareRecruitmentPartners.com
A member of the Sanford Rose Associates® network of offices
America's Best Professional Recruiting Firms | Forbes 2024
Top 10 U.S. Search Firm – Executive Search Review
RN Case Manager
Greater Orlando Area, Florida
The RN Case Manager collaborates with patients, families, social workers, nurses, physicians, and interdisciplinary teams to ensure patient-centered Care Coordination. In the RN Case Manager role, it focuses on efficient, cost-effective care, smooth transitions, and patient satisfaction. The RN Case Manager is supervised by the Care Management Supervisor/Manager and is pivotal in discharge planning, Transitions of Care, and ensuring regulatory compliance.
Qualifications:
Required:
Registered Nurse (RN) with acute hospital nursing experienceAssociate Degree in Nursing (ADN)Prior hospital experience in Care/Utilization Management in an Acute Hospital SettingPreferred:
Bachelor's or Master's in Nursing (BSN/MSN)Certification in Case Management (CCM/ACM)Responsibilities:
Care Planning & Evaluation:
Conduct initial evaluations for transition needs within one day of admissionReview patient records (labs, medications, test results) and incorporate patient/family goals into care plansDevelop and adapt discharge plans based on patient progress and evolving needsCoordination & Communication:
Participate in daily interdisciplinary rounds for Care CoordinationCollaborate with social work for complex psychosocial casesEscalate care delivery barriers to leadershipPatient Support:
Facilitate discussions about discharge options, end-of-life care, and advance directivesEnsure accurate scheduling for follow-up appointments post-dischargeEducate patients and families about payer requirements and potential out-of-pocket costsCompliance & Documentation:
Maintain accurate discharge data in EMR and compliance with Medicare requirementsMonitor readmission risks and implement mitigation strategiesContinuous Improvement:
Engage in performance improvement activities and maintain clinical competencyProvide education to the healthcare team on resource utilization and regulatory standardsKey Competencies
Care Coordination, discharge planning, and medical necessity expertiseKnowledge of post-hospital care services (e.g., home health, hospice, outpatient services)Effective communication and problem-solving skills in a multidisciplinary environmentFor our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.
If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.
Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292
Michelle@HCRecruiter.com
https://www.HealthcareRecruitmentPartners.com
A member of the Sanford Rose Associates® network of offices
America's Best Professional Recruiting Firms | Forbes 2024
Top 10 U.S. Search Firm – Executive Search Review
ED RN Case Manager
Greater Orlando Area, Florida
The ED RN Case Manager collaborates with patients, families, social workers, nurses, physicians, and interdisciplinary teams to ensure patient-centered Care Coordination. In the ED RN Case Manager role, it focuses on efficient, cost-effective care, smooth transitions, and patient satisfaction. The ED RN Case Manager is supervised by the Care Management Supervisor/Manager and is pivotal in discharge planning, Transitions of Care, and ensuring regulatory compliance.
Qualifications:
Required:
Registered Nurse (RN) with acute hospital nursing experienceAssociate Degree in Nursing (ADN)Prior ED hospital experience in Care/Utilization Management in an Acute Hospital SettingPreferred:
Bachelor's or Master's in Nursing (BSN/MSN)Certification in Case Management (CCM/ACM)Responsibilities:
Care Planning & Evaluation:
Conduct initial evaluations for transition needs within one day of admissionReview patient records (labs, medications, test results) and incorporate patient/family goals into care plansDevelop and adapt discharge plans based on patient progress and evolving needsCoordination & Communication:
Participate in daily interdisciplinary rounds for Care CoordinationCollaborate with social work for complex psychosocial casesEscalate care delivery barriers to leadershipPatient Support:
Facilitate discussions about discharge options, end-of-life care, and advance directivesEnsure accurate scheduling for follow-up appointments post-dischargeEducate patients and families about payer requirements and potential out-of-pocket costsCompliance & Documentation:
Maintain accurate discharge data in EMR and compliance with Medicare requirementsMonitor readmission risks and implement mitigation strategiesContinuous Improvement:
Engage in performance improvement activities and maintain clinical competencyProvide education to the healthcare team on resource utilization and regulatory standardsKey Competencies
Care Coordination, discharge planning, and medical necessity expertiseKnowledge of post-hospital care services (e.g., home health, hospice, outpatient services)Effective communication and problem-solving skills in a multidisciplinary environmentFor our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.
If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.
Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292
Michelle@HCRecruiter.com
https://www.HealthcareRecruitmentPartners.com
A member of the Sanford Rose Associates® network of offices
America's Best Professional Recruiting Firms | Forbes 2024
Top 10 U.S. Search Firm – Executive Search Review
PRN Case Manager – Acute Hospital
Southern Greater Orlando Area, Florida
The RN Case Manager collaborates with patients, families, social workers, nurses, physicians, and interdisciplinary teams to ensure patient-centered Care Coordination. In the RN Case Manager role, it focuses on efficient, cost-effective care, smooth transitions, and patient satisfaction. The RN Case Manager is supervised by the Care Management Supervisor/Manager and is pivotal in discharge planning, Transitions of Care, and ensuring regulatory compliance.
Qualifications:
Registered Nurse (RN) with acute hospital nursing experience requiredAssociate Degree in Nursing (ADN) requiredPrior hospital experience in Care/Utilization Management in an Acute Hospital Setting requiredBachelor's or Master's in Nursing (BSN/MSN) preferredCertification in Case Management (CCM/ACM) preferredResponsibilities:
Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and proceduresInterviews patient and involved care givers as well as a review of the current and past inpatient and outpatient medical record in the Initial EvaluationReviews necessary patient information including labs, medications, History and Physical, Therapy notes, ED notes, test results and progress notesIncorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary teamMeets with patient/families to discuss realistic and appropriate discharge options and providers of post-hospital careIncorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patientIdentifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievementCollaborate with the multidisciplinary healthcare team daily in multidisciplinary rounds to efficiently communicateand facilitate high quality patient progression of care and transitions plansEvaluates the potential for readmissions throughout the patient stay through the monitoring of each patient's readmission risk scores and coordinating readmission mitigation interventionsConsults Social Work for specialty services related to psychosocial needs, decision making needs for patients who lack capacity, patient/family adjustment needs and psychosocially complex casesDevelops discharge plan with appropriate contingency plans throughout the hospital stay to enable adaptation to evolving patient care needs and ensure timely Care CoordinationAssists with End-of-Life conversation, Living Wills, Advance Directives, Power of Attorney, Community DNRFacilitates patient care conferences with multidisciplinary teamEstablishes and documents, based on the predicted DRG and multidisciplinary team member's input, Anticipated Date of Transition (ADOT) and destination and updatesActively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patientsProactively identifies patients who no longer meet medical necessity and escalates potential denials, documents avoidable days, and facilitates progression of careCollaborates with Utilization Management staff for collaboration on patient status changes and medical necessity discussionsEnsure patient notifications are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice, and Beneficiary Notice Letter (BNL)Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organizationFor our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.
If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.
Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292
Michelle@HCRecruiter.com
https://www.HealthcareRecruitmentPartners.com
A member of the Sanford Rose Associates® network of offices
America's Best Professional Recruiting Firms | Forbes 2024
Top 10 U.S. Search Firm – Executive Search Review
RN Director of Case Management
Palmdale, California
The RN Director of Case Management provides overall leadership, direction, and strategic planning for Case Management services. The RN Director of Case Management promotes and assures the advancement of Coordinated Care across the Care Continuum. The RN Director of Case Management assumes overall responsibility, authority, and accountability of the Case Management Department. The RN Director of Care Management has oversight over all aspects of daily operations to enable the achievement of both long-term and short-term goals.
Qualifications:
Responsibilities:
To apply for Case Management opportunities or to inquire further, interested individuals can directly contact Michelle Boeckmann directly at Michelle@HCRecruiter.com or visit our Case Management website at
https://www.HealthcareRecruitmentPartners.com/Careers.
Feel free to share these contact details with anyone who might be interested in Case Management and Utilization opportunities.
Michelle Boeckmann | President Case Management Recruitment
Direct: 615-465-0292
A member of the Sanford Rose Associates® network of offices
America's Best Professional Recruiting Firms | Forbes 2024
Top 10 U.S. Search Firm – Executive Search Review