Case Manager RN - Tallahassee, FL - Direct Hire - KP

Job Title: Case Manager RN – RN Care Coordinator
Location: Tallahassee, FL
Job Type: Full-Time (Permanent)
Reporting To: Director of Case Management
Pay Rate: $31.94–$43.92/hr (Based on Experience)
Shift Differentials: Evening: +$2.50/hr | Weekend: +$2.00/hr (Combined: Up to +$4.50/hr)
Relocation Assistance: Available on a Case-by-Case Basis

Shift & Schedule

• Day Shift: 8:00 AM–4:30 PM, includes 1 weekend per 4-week schedule.

• Evening Shift: 12:00 PM–8:30 PM with rotating weekends, OR 11:00 AM–7:30 PM, Monday–Friday, with rotating weekends as needed.

Position Overview

We are seeking a proactive and clinically experienced Case Manager RN to coordinate patient care, evaluate medical necessity, optimize hospital throughput, and facilitate safe post-acute discharge transitions. The RN will collaborate with interdisciplinary teams to develop care plans and ensure appropriate resource utilization.

Required Qualifications

• Associate Degree in Nursing (ADN) or Diploma in Nursing.

• Active Florida RN license or valid Multi-State/Compact RN license with active Florida RN license obtained within 90 days of hire. Active APRN license is also acceptable.

• Must meet one of the following experience pathways:

  • Pathway 1 – Acute Care Case Management: Minimum 3 years of recent Case Manager experience in an acute care hospital setting, within the last year.

  • Pathway 2 – Acute Care Bedside Nursing: Minimum 3 years of current acute care bedside RN experience in Med/Surg, Telemetry, Neuro, ICU, PCU, or Emergency Department.

  • Pathway 3 – Home Health / Insurance Case Management: Previous Case Manager experience in home health or insurance, along with 3 years of total acute care RN experience, including at least 1 year within the last 5 years.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN).

• National certification in Case Management (CCM/ACM), Nursing, or Utilization Review.

Responsibilities

• Perform comprehensive psychosocial and medical assessments and develop individualized, documented case management plans.

• Lead interdisciplinary team rounds to coordinate appropriate levels of care, admission status, and resource utilization.

• Evaluate inpatient admissions and observation patients for medical necessity using approved criteria.

• Conduct utilization management reviews and communicate clinical updates directly to third-party payors.

• Serve as the clinical liaison between physicians, patients, families, hospital staff, and external post-acute care agencies.

• Coordinate post-discharge services, including home health, durable medical equipment (DME), skilled nursing facilities (SNF), and community-based services.

• Make appropriate referrals to third-party payor disease and case management programs.

• Identify barriers to patient throughput and care progression and develop improvement plans.

• Maintain compliance with regulatory requirements, ethics and compliance standards, occurrence reporting, and continuous performance improvement initiatives.

Benefits & Total Rewards

• Medical, dental, vision, prescription drug, and behavioral health coverage.

• Free telemedicine and AirMed medical transportation.

• 401(k) with employer matching, Employee Stock Purchase Plan, flexible spending accounts, and life/disability coverage.

• Tuition reimbursement, student loan assistance, certification support, and dependent scholarships.

• Paid Time Off (PTO), paid family leave, fertility and family-building benefits, and adoption assistance.

• Employee wellness programs and emotional, financial, and physical well-being support.