Nurse Case Manager

4 weeks ago


Winter Haven, Florida, United States Central Florida Health Care Full time
Job Title: Registered Nurse Case Manager

Job Summary: We are seeking a highly skilled Registered Nurse Case Manager to join our team at Central Florida Health Care. As a key member of our managed care team, you will be responsible for delivering high-quality, patient-centered care to our diverse patient population.

Key Responsibilities:

  • Assess patient needs and develop individualized care plans to ensure optimal outcomes.
  • Collaborate with the managed care team, clinical care team, and pharmacy to ensure seamless care coordination.
  • Provide direct nursing care to patients, including patient education, phone triage, and appointment scheduling.
  • Work with referral sources to plan and direct services that meet the needs of individuals, while assessing medical necessity in accordance with Medicaid and Medicare guidelines.
  • Participate in quality improvement, quality assurance, and innovation activities to ensure optimal level of care delivery.

Requirements:

  • Graduate of an accredited School of Nursing.
  • Registered Nurse, preferably with one year of case management experience.
  • Florida unrestricted license.
  • BLS certification.
  • Computer literacy.

Preferred Qualifications:

  • Knowledge of current professional nursing theory, practice, and techniques.
  • Knowledge of current nursing practices in an outpatient primary care setting.
  • Knowledge of assessment of patient needs and services.
  • Knowledge of current professional nursing and pharmaceutical products, Universal Precautions, and emergency situations.

What We Offer:

  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.

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