Case Management Nurse
1 month ago
Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued. Please check out our company website at www.solishealthplans.com to learn more about us
Position is fully onsite Monday-Friday.
Location: 9250 NW 36th St, Miami, FL 33178.
**Bilingual in Spanish is required***
Full benefits package offered on the first of the month following date of hire including: Medical, Dental, Vision 401k plan with a 100% company match
Our company has doubled in size and we have experienced exponential growth in membership from 2,000 members to almost 7,000 members in the last year
Join our winning Solis Team
Position Summary:
Solis Health Plans is looking for a Case Management Nurse (RN) who works for a health plan, assisting patients with complex medical needs to navigate the healthcare system and access appropriate care. The Case Management Nurse is responsible for coordinating and integrating care across different providers and settings, including hospitals, primary care offices, specialty clinics, and home care agencies.
Essential Duties and Responsibilities
- Conducts comprehensive assessments of patients with complex medical needs to identify their physical, psychological, social, and environmental needs.
- Develops individualized care plans that address the patient's health goals, preferences, and priorities, and aligns with evidence-based clinical guidelines and best practices.
- Coordinates care across the healthcare continuum, including transitions of care between different settings and providers, and communicates with the patient, family, caregivers, and healthcare team members to ensure continuity and quality of care.
- Provides patient education on self-management of chronic conditions, medication management, preventive care, and healthcare navigation.
- Participates in quality improvement initiatives, evaluates the effectiveness of the care.
- Coordination and integration program and implements changes to improve outcomes and patient satisfaction.
- Maintains accurate and timely documentation of patient assessments, care plans, interventions, and outcomes, using electronic health record systems.
- Engages in ongoing professional development activities, such as continuing education, certification, and participation in professional organizations, to maintain and enhance. knowledge and skills related to care coordination and integration.
- Collaborates with other members of the healthcare team, such as physicians, social workers, pharmacists, and case managers, to ensure that patients receive coordinated and integrated care that meets their needs and preferences.
- Works closely with the health plan's utilization management team to ensure that services are authorized and reimbursed appropriately.
Qualifications and Education
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Nursing Degree from an accredited nursing program and be licensed as a registered nurse (RN) in the state of Florida. A clear and active license is required.
- 3 years of clinical experience as an RN is preferred.
- Certification in care coordination and transition management, Certified in Case Management (Preferred).
- Strong interpersonal and communication skills to effectively interact with patients, families, and healthcare team members. They must also have strong critical thinking, problem-solving, and decision-making skills to assess patient needs, develop care plans, and coordinate care across different settings and providers.
- Knowledge of evidence-based clinical guidelines, care coordination and integration models, healthcare systems and policies, and quality improvement methods.
What set us apart:
Join Solis Health Plans as a Case Management Nurse and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference
-
Manager of Case Management
2 months ago
Miami, United States Miami Beach Medical Group Full timeThe Manager of Case Management coordinates all aspects of clinic-based case management to promote patient-centered care, balance optimal care, and manage resource utilization. Duties and Responsibilities: Serve as a case management subject-matter expert, advisor, and leader for the case management team. Supervise, facilitate, and oversee staff development...
-
Manager of Case Management
4 weeks ago
Miami, United States Miami Beach Medical Group Full timeThe Manager of Case Management coordinates all aspects of clinic-based case management to promote patient-centered care, balance optimal care, and manage resource utilization. Duties and Responsibilities: Serve as a case management subject-matter expert, advisor, and leader for the case management team. Supervise, facilitate, and oversee staff development...
-
Manager of Case Management
2 months ago
Miami, United States Miami Beach Medical Group Full timeJob DescriptionJob DescriptionThe Manager of Case Management coordinates all aspects of clinic-based case management to promote patient-centered care, balance optimal care, and manage resource utilization.Duties and Responsibilities:Serve as a case management subject-matter expert, advisor, and leader for the case management team.Supervise, facilitate, and...
-
RN Case Manager
2 months ago
Miami, United States Nomi Health Full timeRN Case ManagerNomi Health was founded in 2019 as a direct healthcare company with a simple yet bold mission: rebuild the healthcare system so it is accessible and affordable for everyone. We are rebuilding the healthcare system by cutting costs, confusion, and complexity through direct contracts and payment with providers, deep data dives, and convenient...
-
RN Case Manager
2 weeks ago
Miami, United States Nomi Health Full timeRN Case Manager Nomi Health was founded in 2019 as a direct healthcare company with a simple yet bold mission: rebuild the healthcare system so it is accessible and affordable for everyone. We are rebuilding the healthcare system by cutting costs, confusion, and complexity through direct contracts and payment with providers, deep data dives, and convenient...
-
Miami, Florida, United States Baptist Health South Florida Full timeBaptist Health South Florida is the region's largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of...
-
Manager of Case Management
1 month ago
Miami, United States HCA Florida Kendall Hospital Full time**Introduction**: Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Manager of Case Management today with HCA Florida Kendall Hospital. **Benefits**: HCA Florida Kendall Hospital, offers a total rewards package that...
-
Case Management Coordinator
4 weeks ago
Miami, United States CapLeo Global Full timePosition Title: Case Management Coordinator Duration: 03 Months with possibility of extension Location: Miami Dade county, FL Shift hours: Monday-Friday, 8:00am-5:00pm, standard business hours.NOTE: Candidates must be located in Miami Dade county. This role will require 50-75% travel for face-to-face visits with members in Miami Dade. Training will be...
-
Case Manager
3 weeks ago
Miami, United States Aureus Group Full timeTravel RN needed for a 13-week contract. Contact Aureus today for more information and to apply! Position: Case Manager Specialty/Modality: Case Management Licenses/Certifications: State License-RN-Florida Physical Abilities: Up to 20lbs Travel the country while you enhance your clinical skills, perfect your resume, and build your dream career. Some of the...
-
Case Manager
1 month ago
Miami, United States HR Employer Solutions Group LLC Full timeJob descriptionWe are looking for a Case Manager to enhance the quality of our client management, maximize satisfaction and promote cost effectiveness. The successful candidate will be accountable for the full patient care cycle. Case Manager duties include assessing, planning, implementing, monitoring, and evaluating actions required to meet the client's...
-
Case Manager
2 months ago
Miami, United States HR Employer Solutions Group Full timeJob DescriptionJob DescriptionJob descriptionWe are looking for a Case Manager to enhance the quality of our client management, maximize satisfaction and promote cost effectiveness. The successful candidate will be accountable for the full patient care cycle. Case Manager duties include assessing, planning, implementing, monitoring, and evaluating actions...
-
Case Manager
2 months ago
Miami, United States HR Employer Solutions Group LLC Full timeJob description We are looking for a Case Manager to enhance the quality of our client management, maximize satisfaction and promote cost effectiveness. The successful candidate will be accountable for the full patient care cycle. Case Manager duties include assessing, planning, implementing, monitoring, and evaluating actions required to meet the client’s...
-
Miami, Florida, United States Baptist Health South Florida Full timeBaptist Health South Florida is the region's largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of...
-
Case Manager
4 weeks ago
Miami, United States Beacon Hill Full timeTo Apply for this Job Click Here A growing personal injury law firm in Downtown Miami is seeking a highly organized and detail-oriented bilingual individual to join their team as a Case Manager. As a Personal Injury Case Manager, you will be responsible for providing support to attorneys and clients by managing case files, conducting legal research, and...
-
Travel Nurse RN
1 month ago
Miami, United States TravelNurseSource Full timeTravelNurseSource is working with Amare Medical Network to find a qualified Case Manager RN in Port Charlotte, Florida, 33952!Pay Information$2,080 per weekAbout The PositionCase managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress. The overall...
-
Case Manager, LTSS
4 weeks ago
Miami, United States Molina Healthcare Full timeMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for memb Case Manager, Behavioral Health, Manager, Field, Healthcare, Practical Nurse
-
Registered Nurse Manager
2 months ago
Miami, United States The University of Miami Full timeCurrent Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. This position functions as Manager of the Case Managers and...
-
Case Manager
2 months ago
Miami, Florida, United States Zinnia Health (Harbor Village) Full time:Zinnia Health is a fast-growing integrated healthcare company with great opportunities for career development. We value our employees and care for our clients. Do you have unique talents that you would like to share with others? We would love to have you join our team As a Case Manager in a Substance Abuse Treatment Facility, you will play a crucial role in...
-
RN Case Manager
4 weeks ago
Miami, Florida, United States Nomi Health Full timeRN Case Manager Nomi Health was founded in 2019 as a direct healthcare company with a simple yet bold mission: rebuild the healthcare system so it is accessible and affordable for everyone. We are rebuilding the healthcare system by cutting costs, confusion, and complexity through direct contracts and payment with providers, deep data dives, and convenient...
-
RN Case Manager
3 weeks ago
Miami, United States HCA Florida Mercy Hospital Full timeDescription IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Case Manager opening with HCA Florida Mercy Hospital today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Florida Mercy Hospital, offers a total rewards package that supports the...