Community Case Manager, RN

3 weeks ago


Clearwater FL, United States ChenMed Full time

Community Case Manager, RN

We're different than most primary care providers. The Case Manager is responsible for enhancing the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The incumbent in this role adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures.
Coordinates the integration of social services/case management functions into the patient care, discharge and home planning processes with other departments, external service organizations, agencies and healthcare facilities.
* Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff.
* Acts as a patient advocate: investigates and reports adverse occurrences and performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
* Evaluates patient satisfaction and quality of care provided.
* Coordinates the provision of social services to patients, families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.
* Facilitates interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post-hospital needs.
* Directs and participates in the development and implementation of patient care policies and protocols to provide advice and guidance in handling special cases or patient needs.
* Thorough knowledge of case management principles, healthcare management and reimbursement.
* Ability to convey medical terms and treatment plans so they are understood by patients and their caregivers.
* Excellent organizational and time management skills.
* General computer knowledge and effective Microsoft Office Products (PowerPoint, Excel, Word and Outlook) skills, plus the ability to use a variety of other word-processing, spreadsheet, database, e-mail and presentation software.
* Ability and willingness to travel locally, regionally and/or nationwide up to 10% of the time.
* Spoken and written fluency in English.
Bachelor's degree in a healthcare related field preferred
* Valid, active licensure as professional nurse (RN, LPN or other nursing discipline) required
* A minimum of 7 years' utilization review/case management experience, including psychological aspects of care
* A minimum of 7 years' experience in discharge planning from a hospital is preferred
* Experience in case management in a hospital and/or healthcare setting highly desired
* We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.



  • Clearwater, FL, United States ChenMed Full time

    Community Case Manager, RN We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're...


  • Clearwater, FL, United States ChenMed Full time

    Community Case Manager, RNWe're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and...


  • Orlando, FL, United States ChenMed Full time

    Community Case Manager, RN We're different than most primary care providers. The Community Care team is a multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse (LPN) Community Care nurses, Community Social Workers (CSW) and Community Health Coordinator (CHC) who work with our highest complexity patients...


  • Orlando, FL, United States ChenMed Full time

    Community Case Manager, RN We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're...


  • Clearwater, FL, United States Humana Inc Full time

    RN Case Manager, Home Health Become a part of our caring community and help us put health first As a Home Health RN Case Manager, you will: * Provide admission, case management, and follow-up skilled nursing visits for home health patients. * Administer on-going care and case management for each patient, provide necessary follow-up as directed by the...

  • Case Manager

    3 weeks ago


    Clearwater, United States Religious Community Svc Full time

    Position Summary: The Hope Villages of America Case Manager is an advocate, mentor, and life coach for the individuals in our care. The Case Manager will be responsible for working directly with individuals who have experienced domestic violence, providing crisis intervention, ensuring the completion of comprehensive assessments, individual and group...


  • Orlando, FL, United States ChenMed Full time

    Community Case Manager, RNWe're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and...


  • Clearwater, United States Mental Health Resource Center Inc Full time

    Benefits:Dental insuranceHealth insurancePaid time offVision insuranceBenefits/PerksMedical, Dental, and Vision InsuranceLife InsuranceDisability Insurance403bPTOPaid HolidaysFlexible Spending AccountEmployee Assistance ProgramCompany OverviewMental Health Resource Center is a not-for-profit organization dedicated to delivering a comprehensive array of...

  • Case Manager RN PRN

    1 week ago


    Clearwater, United States HCA Florida South Tampa Hospital Full time

    Description IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Case Manager RN PRN with HCA Florida South Tampa Hospital you can be a part of an organization that is devoted to giving back!BenefitsHCA Florida South Tampa Hospital, offers a total rewards package that supports the health,...


  • Clearwater, FL, United States ChenMed Full time

    Job SummaryWe are seeking a highly skilled and compassionate Community Health Manager, RN to join our team at ChenMed. As a key member of our healthcare team, you will play a vital role in enhancing the quality of patient management and satisfaction, promoting continuity of care and cost effectiveness.Key ResponsibilitiesCase Management: Coordinate the...


  • Clearwater, United States BayCare Health System Full time

    At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a...


  • Clearwater, Florida, United States Evara Health Full time

    Job OverviewAre you passionate about enhancing community health? Are you seeking to advance your career in the healthcare sector? Evara Health, a prominent not-for-profit healthcare organization, has been dedicated to serving the community for over 40 years, with numerous locations throughout the region.As a Nurse Case Manager at Evara Health, you will play...


  • Clearwater, United States BayCare Health System Full time

    At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy thats built on a foundation...

  • Nurse Case Manager

    1 month ago


    Clearwater, United States Evara Health Full time

    Job DescriptionJob DescriptionDo you want to make a difference in the community? Are you looking to further your career in healthcare? Do you want to be part of a growing organization? Evara Health has been serving the community for 40 years. We are a not-for-profit health care organization with 14+ locations throughout Pinellas County, FL!Join us at Evara...


  • Clearwater, United States BayCare Health System Full time

    At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a...

  • Case Manager

    4 weeks ago


    Clearwater, United States Sevita Full time

    NeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges. In a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services...


  • Clearwater, United States BayCare Health System Full time

    At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation...


  • Clearwater, Florida, United States Evara Health Full time

    Job SummaryEvara Health is seeking a skilled LPN Hospital Liaison Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in providing comprehensive support and coordination to patients and their families.Key ResponsibilitiesAssessment and Planning: Conduct thorough assessments of patient needs and develop...

  • Registered Nurse

    3 weeks ago


    Crestview, FL, United States North Okaloosa Medical Center Full time

    Registered Nurse (RN) - Case Management Job Description The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Resource Management, including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission,...


  • Tallahassee, FL, United States CorVel Full time

    Medical Case Manager I - RN CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Panama City, FL areas. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. You will work collaboratively with the patient,...