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CoreHire

Case Manager RN

CoreHire, Tallahassee, Florida, us, 32318

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Available Shift Evening Shift:

12:00 PM 8:30 PM EST

Job Summary We are seeking an experienced

Case Manager RN

to join a 288-bed acute care setting serving Leon and Gadsden Counties. This facility offers a wide range of services including Emergency Care, Behavioral Health, Cancer Services, Heart & Vascular Care, Orthopedics, NICU, Rehabilitation, Surgical Services, Stroke Care, Imaging, and more.

The

RN Care Coordinator

is responsible for overseeing the interdisciplinary plan of care, ensuring medical necessity, appropriate resource utilization, and timely patient throughput. This role is focused on achieving quality outcomes while coordinating safe, efficient, and effective discharge planning.

Key Responsibilities Perform comprehensive assessments of medical and psychosocial needs

Develop, document, and coordinate individualized case management plans

Lead interdisciplinary collaboration to ensure appropriate level of care

Conduct medical necessity reviews using approved criteria

Evaluate admission status and observation appropriateness

Perform utilization management reviews and communicate with payors

Act as liaison between physicians, families, care teams, and external agencies

Ensure compliance with regulatory standards, ethics, and quality initiatives

Identify barriers to care and develop action plans for improvement

Coordinate discharge needs and post‑acute services

Support under‑resourced patient populations with education and community resources

Provide guidance for high‑risk patients and chronic disease management

Track, trend, and resolve variances in care

Participate in performance improvement, patient safety, and reporting processes

Perform additional duties as assigned

Qualifications Minimum 3 years

of recent Case Management experience in an acute care setting (within the last year)

OR 3 years of experience in

Med/Surg, Telemetry, Neuro, ICU, PCU, or ED

Candidates with

Home Health or Insurance Case Management

experience considered if they have:

3 years of total acute care experience

At least 1 year of acute care experience within the last 5 years

Associates Degree or Diploma in Nursing

required

BSN preferred

Current Florida RN license

or compact license

Compact holders must obtain Florida license within 90 days

APRN license acceptable if current and compliant

Case Management or Utilization Review certification preferred

Reporting Structure Reports to the

Director of Case Management

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