RN Care Manager
Registered nurse manager job in Winter Park, FL
Job Description
We are seeking an RN Care Manager to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The RN Care Manager plays a pivotal role in coordinating and managing comprehensive care plans for members within the healthcare services industry. This position focuses on improving member outcomes by assessing individual health needs, facilitating communication among multidisciplinary teams, and ensuring continuity of care across various healthcare settings. The RN Care Manager acts as a liaison between members, families, and healthcare providers to advocate for member-centered care and optimize resource utilization. By monitoring member progress and adjusting care plans accordingly, the RN Care Manager helps reduce hospital readmissions and enhances overall member satisfaction. This role requires a proactive approach to problem-solving and a commitment to delivering high-quality, compassionate care.
Minimum Qualifications:
Current and valid Registered Nurse (RN) license in the state of practice.
Bachelor of Science in Nursing (BSN) degree or equivalent.
Minimum of 2 years clinical nursing experience, preferably in case management, care coordination, or a related field.
Strong knowledge of healthcare systems, member care standards, and regulatory requirements.
Proficiency in electronic health records (EHR) and care management software.
Relevant experience may substitute for the educational requirement on a year-for-year basis.
Preferred Qualifications:
Master of Science in Nursing (MSN) degree or equivalent.
Certification in Case Management (CCM) or Accredited Case Manager (ACM) credential.
Experience working with diverse member populations and chronic disease management.
Advanced degree in nursing, healthcare administration, or related discipline.
Familiarity with quality improvement methodologies and population health management.
Bilingual abilities or experience in culturally competent care delivery.
Responsibilities:
Conduct thorough assessments of members' health status, needs, and resources to develop individualized care plans.
Coordinate with healthcare professionals to implement and monitor care plans, facilitating timely interventions and support.
Educate members and their families about health conditions, treatment options, and self-care strategies to promote adherence and empowerment.
Monitor member progress through regular follow-ups, adjusting care plans as necessary to address changing health conditions and barriers to care.
Document all care management activities accurately and maintain compliance with healthcare regulations and organizational policies.
RN Case Manager, Home Health
Registered nurse manager job in Daytona Beach, FL
Become a part of our caring community and help us put health first Make a meaningful impact every day as a CenterWell Home Health nurse. You'll provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working closely with a dedicated team of physicians and clinicians, you'll develop and manage care plans that support recovery and help patients get back to the life they love.
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 Clinical Manager.
Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment. Provide hands-on care, management, and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation.
Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides, and external providers).
Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis.
Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems.
Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflects current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility.
Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.
Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records and confers with other health care disciplines in providing optimum patient care
Use your skills to make an impact
Required Experience/Skills:
Diploma, Associate, or Bachelor Degree in Nursing
A minimum of one year of nursing experience preferred
Strong med surg, ICU, ER, acute experience
Home Health experience is a plus
Current and unrestricted Registered Nurse licensure
Current CPR certification
Strong organizational and communication skills
A valid driver's license, auto insurance, and reliable transportation are required.
Pay Range
• $45.00 - $63.00 - pay per visit/unit
• $70,500 - $96,900 per year base pay
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$77,200 - $106,200 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Auto-ApplyRN Care Manager
Registered nurse manager job in Alafaya, FL
Little Angels PPEC (Prescribed Pediatric Extended Care) is medical day care for special needs children. At Little Angels PPECs and rehab centers, we are dedicated to providing best nursing care, and therapeutic care to children with special needs requiring rehabilitative services. We strive to provide the highest quality care that places the child and family at the center of care. We seek to help stabilize and improve a child's condition and to assist the family as much as possible. With compassion, we provide services that enhance the health, independence, self -sufficiency, and productivity of those served, while also providing support to their families Hours: Monday to Friday with a weekend rotation
RN Care Manager is responsible for New Patient Intake to enroll children at PPEC and supervision of nursing staff and aides.
RN Care Manager will review necessary patient information including labs, medications, History and Physical, specialist notes, PPEC referral orders and ED notes etc to create Plan of Care for PPEC Admission. Responsible for re certification of plan of care every 6 months for continued stay.
RN Care Manager will complete Initial RN Assessment, reconciles home and hospital medications in eMAR. Assigns patients to RNs or LPN, HHA for daily nursing care.
The RN Care Manager, in collaboration with the patient/family, social workers, nurses, physicians and the interdisciplinary team, ensures patient -centered care coordination and progression through the continuum of care at PPEC for short / long term stay to achieve best developmental outcomes.
The RN Care Manager ensures efficient and cost -effective care through appropriate resources monitoring, and clinical care escalations
The RN Care Manager is under the general supervision of the Care Management, Nursing Director and Medical Director and is responsible for patient evaluations of post -hospital needs; development of a Plan of Care and initiation of the implementation of the of care plans for children attending PPEC.
The RN Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management.
The RN Care Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds
Care coordination, discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role
The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery to improve developmental outcomes for children with special needs.
Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary team
Meets with parents/families to discuss realistic and appropriate therapy and nutrition options to optimize growth and development of patients.
Collaborates with the multidisciplinary healthcare team daily in multidisciplinary rounds to communicate efficiently and facilitate high quality of care according to Plan of Care for each child.
Consults Social Work for specialty services related to psychosocial needs, decision -making needs for patients who lack capacity, patient/family adjustment needs and psycho socially complex cases
Ensures primary care physician identification and scheduling of follow -up PCP and specialist appointments once child is attending PPEC
Maintains clinical competency and current knowledge of community resources, and insurance requirements to perform job responsibilities
To learn more about Little Angels PPEC, please visit - *********************************************
Requirements
Associate of Science degree in Nursing (ASN) or MSN
Current valid license as a Registered Nurse in the state of Florida
Two (2) years of medical/hospital nursing experience
Pediatric Home Health Care experience preferred
Pediatric nursing experience preferred
Benefits
401(k) Retirement Plan
Health Insurance
Dental and Vision Insurance
Paid Time Off
Paid Holidays
Work -life balance
RN Care Manager, Behavioral Health
Registered nurse manager job in Longwood, FL
Promotes and facilitates effective management of hospital resources from admission to discharge, collaborating with the assigned clinical team to identify patient most likely to benefit from care coordination services to include assessing patients' risk factors and the need for care coordination, clinical utilization management and the transition to the next appropriate level of care. Responsibilities • Initially and concurrently assesses all patients within assigned population to include, but not limited to: o Accurate medical necessity screening and submission for Physician Advisor review o Care coordination that includes admitting diagnosis/ medical history, current treatments, age, payment source, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/ personal needs, and other relevant information. o Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning as appropriate through assessment and reassessment and the application of InterQual guidelines. o Leading and facilitating multi-disciplinary patient care conferences o Managing concurrent disputes o Making appropriate referrals to other departments o Identifying and referring complex patients to Social Work Services o Communicating with patients and families about the plan of care o Leading and facilitating Complex Case Review o Identification and documentation of potentially avoidable days o Identification and reporting over and underutilization • Ensures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval. • Adheres to Utilization Management Plan. • Integrates National standards for care management scope of services including: o Utilization Management supporting medical necessity and denial prevention o Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction o Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and appropriate level of care o Education provided to physicians, patients, families, and caregivers. • Communicates appropriately and timely with the interdisciplinary team and third-party payers. • Prioritizes activities in assigned areas to focus on high risk, high cost, and problem prone areas. • Develops, collaborative relationships with patient business, nursing, physicians, and patient/family to facilitate efficient movement through the continuum of care. • Monitors and evaluates data, fiscal outcomes, and other relevant information to develop and implement strategies for improvement. • Forwards identified quality and/or risk issues appropriately. • Maintains positive relationships with outside/onsite reviewers and other payer representatives. • Identifies cultural, socio-economic, religious, and other factors that may impact treatment. • Involves patient's family in the development of the treatment plan as appropriate while explaining procedures, therapies, systems treatment plans, and discharge plans in age/developmental/educational specific terms to patient/family. • Reviews patient's discharge plan at multidisciplinary meetings and/or staffing to facilitate communication with other healthcare team members. • Prioritizes workload to manage multiple priorities while using problem-solving skills to meet goals. • Enhances professional growth by participating in educational programs, current literature and/or workshops. • Possesses excellent interpersonal skills and ability to work in a team environment. • Respects the rights and privacy of others and holds staff member information in strict confidence. • Maintains regular attendance and complies with time and attendance policy and procedures. • Adheres to Orlando Health's policies and procedures, Mission, Vision and Values statement and Code of Conduct. • Enhances professional growth by participating in educational programs, current literature and/or workshops. Qualifications Education/Training • Graduate of an approved school of nursing. Licensure/Certification • Maintains current Florida RN license and BLS/Healthcare Provider certification are required. • BLS/Healthcare Provider Certification within 90 days of hire. • Handle with Care (HWC) Certification required for Behavioral Health Unit. Experience Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care.
Education/Training • Graduate of an approved school of nursing. Licensure/Certification • Maintains current Florida RN license and BLS/Healthcare Provider certification are required. • BLS/Healthcare Provider Certification within 90 days of hire. • Handle with Care (HWC) Certification required for Behavioral Health Unit. Experience Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care.
* Initially and concurrently assesses all patients within assigned population to include, but not limited to: o Accurate medical necessity screening and submission for Physician Advisor review o Care coordination that includes admitting diagnosis/ medical history, current treatments, age, payment source, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/ personal needs, and other relevant information. o Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning as appropriate through assessment and reassessment and the application of InterQual guidelines. o Leading and facilitating multi-disciplinary patient care conferences o Managing concurrent disputes o Making appropriate referrals to other departments o Identifying and referring complex patients to Social Work Services o Communicating with patients and families about the plan of care o Leading and facilitating Complex Case Review o Identification and documentation of potentially avoidable days o Identification and reporting over and underutilization • Ensures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval. • Adheres to Utilization Management Plan. • Integrates National standards for care management scope of services including: o Utilization Management supporting medical necessity and denial prevention o Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction o Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and appropriate level of care o Education provided to physicians, patients, families, and caregivers. • Communicates appropriately and timely with the interdisciplinary team and third-party payers. • Prioritizes activities in assigned areas to focus on high risk, high cost, and problem prone areas. • Develops, collaborative relationships with patient business, nursing, physicians, and patient/family to facilitate efficient movement through the continuum of care. • Monitors and evaluates data, fiscal outcomes, and other relevant information to develop and implement strategies for improvement. • Forwards identified quality and/or risk issues appropriately. • Maintains positive relationships with outside/onsite reviewers and other payer representatives. • Identifies cultural, socio-economic, religious, and other factors that may impact treatment. • Involves patient's family in the development of the treatment plan as appropriate while explaining procedures, therapies, systems treatment plans, and discharge plans in age/developmental/educational specific terms to patient/family. • Reviews patient's discharge plan at multidisciplinary meetings and/or staffing to facilitate communication with other healthcare team members. • Prioritizes workload to manage multiple priorities while using problem-solving skills to meet goals. • Enhances professional growth by participating in educational programs, current literature and/or workshops. • Possesses excellent interpersonal skills and ability to work in a team environment. • Respects the rights and privacy of others and holds staff member information in strict confidence. • Maintains regular attendance and complies with time and attendance policy and procedures. • Adheres to Orlando Health's policies and procedures, Mission, Vision and Values statement and Code of Conduct. • Enhances professional growth by participating in educational programs, current literature and/or workshops.
Auto-ApplyRN Unit Manager - RN Unit Manager
Registered nurse manager job in Palatka, FL
Palatka Center for Rehabilitation & Healing Make an impact. Build connections. Love where you work. At Palatka Center for Rehabilitation and Healing, you'll find a team that celebrates your strengths, where your work truly makes a difference every day. We're passionate about creating a supportive, positive environment-not only for our residents, but for the people who care for them. As proud partners of the Tampa Bay Buccaneers, our team members also have the opportunity to join the spirited
KARE KREWE of Palatka
-bringing big-team energy and community spirit to everything we do. If you are looking to join a caring and supportive team, we would love to meet you!
We are conveniently located at 110 Kay Larkin Dr, Palatka
Why Work For Us? Because We Offer Our Employees:Health, Dental & Vision Insurance- proudly offering Horizon Blue Cross/ Blue ShieldGenerous PTO, Holiday and Sick time- we value work/life balance 401k with company match, Life Insurance and Disability Coverage- peace of mind for you and your family Direct Deposit & Daily Pay Options Available- Get paid when YOU want Wonderschool Concierge Services- childcare made simple Uniforms & Employee Perks Program- we've got you covered24/7 Telehealth Benefit with Doctegrity-access to medical care and mental health support when you need it most
RN Unit Manager Description:
The RN Unit Manager (registered nurse) will be responsible for staff, management, and coordination of nursing service activities for the scheduled working shift in accordance with established philosophy, objectives, and policies of the facility to ensure safe, efficient, and therapeutic patient care. He or she will relate effectively with other shifts for continuity of care and in the absence of the ADON and Director of Nursing will take charge.
RN Unit Manager Duties and Responsibilities:
Assists in interpreting facility policy and state law as related to the nursing services.
Participates in facility safety procedures and programs.
Informs the ADON of nursing activities, needs, problems, and unusual events.
Recommends the purchase of supplies and equipment required for the nursing service.
Makes routine nursing service checks on staff, timecards, equipment, materials, supplies, etc.
Makes recommendations to the ADON and Director of Nursing to hire, promote, suspend, and terminate nursing service employees.
Assists with in-service education programs and follows up to evaluate effectiveness and to determine the need for revision of methods and materials.
Investigates and reports complaints.
Charge the Floor in the absence of charge nurse/assist charge nurse with daily duties as needed.
Case Manager / RN
Registered nurse manager job in Lake Mary, FL
Scope: The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of services, review of treatment plans for medical necessity, standards of care, and ongoing communication with all members of the health care team. This is a remote/work-from-home position.
License Requirements:
Registered Nurse (current active and unrestricted, in state of current practice and residence, within the United States or its territories.)
Education:
R.N., a bachelor's degree in a health-related field preferred.
Experience:
7 years of varied clinical experience preferred.
Responsibilities:
The Registered Nurse Case Manager will practice within the scope of his/her licensure.
Review all medical data which can be provided to establish, update and maintain accountability for a case management plan which will incorporate contact with providers, payers, with the patient and with the patient's primary caregiver.
Assess problems and determine goals and actions designed to meet the needs of the patient and document into the case notes. Determine if these goals are long term or short term and how the patient can be expected to meet those goals. Include the action/intervention the case manager will take to work towards achieving those goals.
Make contact with the payer office to find out and understand any benefit constraints that will have an impact on the plan of action.
Proceed with contacting medical care providers and with equipment vendors to verify medical necessity of care or equipment that has been ordered.
Make care arrangements for quality patient care according to the needs of the patient, the physician's orders and the benefits available.
The Case Manager will work in conjunction with the Case Management Assistant to manage case management files, exclusive of Assessment and/or Care Plan activities, and will provide input in the Annual Performance Evaluation of the CM Assistant assigned. The Case Manager will maintain responsibility for the Case Management file.
Be aware of any alternative treatment possibilities that may allow the patient to reach wellness goal(s). If there are no benefits available for your recommended alternative treatments, provide to the payer a cost-benefit analysis to demonstrate that extra-contractual services will enhance the patient's medical condition and will be cost-effective to the benefit plan.
Become familiar with community resources and funding sources so that the patient can receive quality health care and conserve health benefit dollars. Many agencies exist which provide assistance to persons in financial need or to provide information to persons with specific medical conditions.
Maintain case in computer system documenting case actions for each patient under your case management. Complete all aspects of case in the computer. Prepare timely reports to the payer to detail all case actions, the results of those actions, and the continuing case management plan.
Maintain billing as appropriate in computer system.
Continue to maintain contact with the providers and with the patient across the continuum of care to be sure that patient needs are being met. On any cases which include a chronic condition keep the file open for periodic contacts to verify the clinical status of the patient and additional medical needs.
Negotiate with providers to maximize the medical benefits available to the patient. Make network referral as appropriate.
Act upon any awareness of non-medical issues which involve the patient's safety or welfare. Attempt to direct the patient or family to appropriate providers or community resources, or to personally notify appropriate authorities. Consult with the CM supervisor on a regular basis, and keep the supervisor informed regarding any complaints which may occur about case management services or any issues which arise which the case manager is not competent to handle or does not have the expertise to handle.
Adhere to all company policies as stated in the employee handbook.
All case managers will possess a URAC-recognized certification in Case Management within 3 years of hire. Participate in the Quality Management Program by adhering to all company policies and procedures and identifying opportunities for improvement to ensure quality services are rendered to clients and customers.
This position is eligible for a bonus program.
The salary range for this position is from $72,000 to $81,000 annually.
Work Environment / Physical Demands: This position is in a typical home office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment.
We are an Equal Opportunity Employer, including disability/veterans.
Auto-ApplyRegistered Nurse Case Manager - Hospice
Registered nurse manager job in Palatka, FL
Our Company
Haven Hospice
Coverage area: Putnam County
Schedule: Monday - Friday 8a-5p
Are you a Registered Nurse looking for a new opportunity? Haven Hospice is seeking a passionate, dedicated Hospice RN to join our team in Palatka, Fl. Our hospice RNs provide expert, patient-centered care at a critical time in people's lives. If you're ready to work in a supportive, fulling environment where your skills and empathy truly shine, apply today!
How YOU will benefit
Provide 1:1 care to make a lasting impact on patients and families
Greater work/life balance with flexible scheduling options
Less time on your feet compared to other settings
Ability to work independently while also having team support
Job stability and regular advancement opportunities with a growing company
As a RN Case Manager You will:
Assess/monitor physical, emotional, and psychological needs of patients
Create hospice care plans that align with the patient's wishes and goals
Direct nursing care: administering medications, treatments, and interventions
Provide pain and symptom management
Educate and support the patient's family and caregivers
Collaborate with interdisciplinary team
Maintain accurate and timely documentation
Participate in on-call rotation as required by local branch
Benefits and Perks for You!
Medical, Dental, Vision insurance
Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
Tuition discounts & reimbursement
401(k) with company match
Generous PTO
Mileage reimbursement
Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more!
*Benefits may vary by employment status
Qualifications
Graduate of an accredited nursing school with current licensure to practice in state of operation
One year nursing experience required, 3+ years preferred
Experience in hospice or a similar setting preferred
Knowledge of the hospice philosophy of care
Commitment to clinical and documentation excellence
Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order
About our Line of Business At Haven Hospice, our primary ambition is to bring high-quality care to the warmest and most serene environment possible: home. We provide the full spectrum of hospice services, thoughtfully tailored to the individual needs of patients and families. Haven Hospice, an affiliate of BrightSpring Health Services, is grounded in a foundational commitment to providing quality patient care and championing our agency leadership and teams. We are proud to have many dedicated health care professionals on our team. We are confident you will find purpose, meaning and a chance to make a positive impact from day one. For more information, please visit ********************* Follow us on Facebook and LinkedIn.
Auto-ApplyLocal Contract Nurse RN - CVOR - $34-49 per hour
Registered nurse manager job in Sanford, FL
LanceSoft is seeking a local contract nurse RN CVOR for a local contract nursing job in Sanford, Florida.
Job Description & Requirements
Specialty: CVOR
Discipline: RN
Duration: 52 weeks
40 hours per week
Shift: 8 hours, days
Employment Type: Local Contract
About LanceSoft
Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
Benefits
Weekly pay
Medical benefits
Nurse Care Coodinator
Registered nurse manager job in Daytona Beach, FL
Nurse Care Coordinator Salary Range: $56,000 Employment Type: Full Time/Exempt Department: Clinical Provide oversight to CPC staff and caregivers related to nursing and medical issues, as well as to serve as the single point of contact for physical health issues to Sunshine State, their contracted providers, and Children's Medical Services (CMS), under the supervision of the Behavioral Health Supervisor. Duties include general and project-based work. Demonstrate a professional agency image through in-person and phone interaction.
PRINCIPAL DUTIES AND RESPONSIBILITIES
* Ensure Child Welfare Specialty plan enrollment process is successful and covered enrollees and caregivers are engaged by providing ongoing program education in accordance with AHCA (Agency for Health Care Administration), Sunshine Health with contract requirements.
* Ensure required health information for covered enrollees is maintained as required with current PCP info, designated caregiver demographics, placement changes, etc.
* Upon enrollment in Sunshine Health, ensure that an initial Health Risk Assessment has been completed for all covered persons and submitted to Sunshine Health.
* Assess, identify and refer to Sunshine Health or other health plan, those covered individuals who may be in need of physical or behavioral health care management, health coaching, or care coordination, etc.
* Assist with ongoing management of healthcare needs by tracking additional assessment requests, reviewing individual health records, identifying service needs, maintaining periodic contact, and arranging for home visits as necessary.
* Participate in Sunshine Health discharge planning including monitoring the completion of post-discharge follow-up appointments, ordered services are scheduled and additional prescription medications are filled. Ensure Sunshine Health is notified when issues arise that may impact the status of the discharge.
* Monitor Children's Medical Services (CMS) eligibility, completion of the application process for eligible participants, and transition to the CMS program. Coordinate with Sunshine Health to ensure required care plans are completed and caregiver participation in care plan meetings.
* Participate in the Children's Multidisciplinary Assessment Team (CMAT) staffings to ensure that appropriate services are being provided to children with complex medical needs through CMS. This includes initiating the CMAT referral process for all identified children who may be CMS Medical Foster Care candidates.
* Review the health and wellness reports from Sunshine Health for status of required healthcare visits/prescription refills and reach out to enrollees/caregivers as needed to ensure scheduling of needed appointments.
* Monitor medication/reconciliation activities to ensure all enrollees are in compliance with prescription orders, and report any identified issues to Sunshine Health.
* Review all Sunshine Health, FSFN and other data reports and coordinate with Health Services Coordinator and Case Management to assist in coordinating appropriate health care, including compliance with required medical, dental and immunizations for CPC clients.
* Conduct planning of specialized service management for youth transitioning from the child welfare system, including but not limited to, participation in routine integrated care team staffings and the coordination of services listed in the transition plan.
* Participate as requested in Sunshine Health's case management integrated care team and multi-disciplinary care team (MDT) staffings.
* Participates in the agency strategic plan & quality improvement processes.
* Ability to safely & successfully perform essential job functions consistent with the ADA, FMLA, & other federal, state, & local standards, including meeting qualitative & quantitative productivity standards.
* Ability to maintain reasonably regular, punctual attendance consistent with ADA, FMLA & other federal, state, & local standards
* Duties as assigned in support of Sunshine Health.
* This list of essential functions is not intended to be exhaustive. The agency reserves the right to revise this as needed to comply with actual job requirements
EXPERIENCE/PERFORMANCE REQUIREMENTS (Knowledge, skills and abilities):
REQUIRED:
* Registered Nurse (RN)
* Minimum of 2 years of nursing experience, preferably in the child welfare or behavioral health care setting.
PREFERRED:
* Knowledge Medicaid funding available to children involved in the dependency system
* Experience working with the Department of Children and Families and/or the Agency for Health Care Administration.
* Registered Health Information Administrator (RHIA), Certified Professional in Healthcare Management (CPHM), Licensed Healthcare Risk Manager and/or Certified Professional in Healthcare Quality (CPHQ)
EDUCATION REQUIREMENTSREQUIRED:
* Registered Nurse (RN)
LICENSES AND CERTIFICATIONS
* Maintain license as a Registered Nurse.
* Possess a current Background Clearance Screening Letter as required by DCF; and successfully complete the background screening requirements for Community Partnership for Children.
* If local travel is required, a Valid Florida driver's license and documentation of current automobile insurance.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
* Employee will work in an office/clerical environment. The employee will work predominantly seated with recurrent need to walk, stand, and bend from the waist. Occasional light lifting, stooping, and climbing may be required. Occasional travel within the state.
GENERAL INFORMATION
The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. This job description should not be construed to constitute contractual obligations of any kind or a contract of employment between Community Partnership for Children and any employee. Employment at Community Partnership for Children is "at-will" and either party can terminate the employment relationship at any time, with or without just cause.
Senior RN Supervisor
Registered nurse manager job in DeLand, FL
- Fill in campus vacancies - Oversee clinical staff amongst Volusia County - Organize + orchestrate trainings and orientation periods - Medication training per specific student needs - Lead trainings across entire department for county protocol - Evaluation for home education for students due to medical conditions
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: ****************************************************
Skills and Requirements
- Bachelor's degree and School Based Experience OR Masters' Degree
- 4+ years' experience as RN: Pediatric, School health, Occupational health. Etc.
- 2+ years clinical leadership
- CPR/First Aid Certification
- Active RN License - ALS/BLS Certification
- Training facilitation experience
- Knowledge of infection control policies
Nurse Care Manager
Registered nurse manager job in Sanford, FL
Nurse Care Manager
Reports To: Director of Quality
FLSA Status: Full time - Salaried, exempt as defined under Fair Labor Standards Act
Content Last Revised: 10/09/2025
The Central Florida Family Health Center, Inc. dba True Health is a private, not-for-profit federally qualified health center (FQHC) serving Central Florida since 1977. Our mission is to provide high-quality, comprehensive healthcare at a reasonable cost to everyone.
Job Summary
The Nurse Care Manager is responsible for overseeing and coordinating all aspects of the Medication-Assisted Treatment (MAT) and HIV programs. This role ensures seamless integration of behavioral health and support services to improve patient outcomes. The Nurse Care Manager supports the care teams in the delivery of evidence-based treatment while ensuring compliance with federal, state, and grant regulations. This role blends clinical expertise with care coordination, patient education, and quality improvement. The Nurse Care Manager may also be assigned to work on select clinical projects to reduce health disparities and improve health outcomes and will be assigned to the MAT/HIV programs which may include grant coordination and adherence. This is NOT a remote position.
Key Responsibilities
Maintains a transparent, effective relationship with the Director of Quality by supporting the organization's activities
Fosters an environment and culture that focuses on fulfilling the company's mission, vision, and values
Coordinate patient enrollment, intake, and follow-up within the MAT and HIV programs
Ensure patients receive timely access to medications, counseling, and support services
Maintain scheduling, communication, and coordination between care teams
Track outcomes, including retention, relapse prevention, and quality metrics
Identify barriers to treatment and work to improve access and continuity of care
Facilitate staff education on subjects such as MAT workflows, patient engagement, and evidence-based practices
Travel between True Health sites as needed for delivery of supplies and/or staff education in addition to meeting patients face-to-face as needed
Develop, implement, and update individual care plans in collaboration with patients, families, and providers using the electronic health record
Lead and/or participate in quality improvement projects and risk/compliance activities
Maintain patient confidentiality and comply with HIPAA and organizational policies
Connect patients to relevant community resources as required, with the goal to increase satisfaction, patient health, and well-being and reduce healthcare costs
Act as a liaison between patients, referring providers, or outside agencies to coordinate patient appointments.
Coordinate the exchange of information either written or verbal before and after patients are seen
Address patients and family members with concern and empathy
Perform patient outreach and schedule appointments as needed
Assist with data mining and research initiatives
Answer phone calls and return messages in a timely manner
Monitor the inbox within the electronic health record and send patient letters/correspondence timely
Assist with tracking of referrals as necessary, ensuring documentation is current with necessary updates from patients and referral providers
Develop, implement, and update individual care plans in collaboration with patients, families, and providers
Provide disease management education along with preventative care management, health coaching, and motivational interviewing to support patient self-management and include patient families, other members of the healthcare team, etc.
Monitor patient progress, track outcomes, and document interventions in the electronic health record (EHR) and excel spreadsheets as applicable
Attend and participate in workgroups, program meetings, and other associated events as appropriate
Advocate for patients by addressing barriers such as transportation, financial needs, and access to medication or community resources
Provide direct patient education during clinic visits, in the patient portal, and through outreach calls
Work collaboratively with other members of the healthcare team in coordination of the patient's care
Participate in development activities and maintains professional affiliations
Foster and develop partnerships to further the mission of the organization
Travel as necessary using personal vehicle (must maintain current auto insurance at own expense)
Other responsibilities as assigned
Essential Functions
Problem Solving
Case Management
Customer Service
Verbal Communication
Written Communication
Leadership
Professional Judgement
Planning/Organizing
Adaptability
Initiative
Administration/Operations
Vision
Minimum Qualifications
Education:
High School Diploma or equivalent
Experience:
Minimum of two (2) years' in a clinical nursing environment preferred
Case management experience preferred
Advanced proficiency in Microsoft Office (Ex. Word, Excel, Outlook, PowerPoint) preferred
Federally Qualified Health Center (FQHC) experience preferred
Licenses or Certifications:
Active registered nurse (RN) license in the state of Florida
Current Cardiopulmonary resuscitation (CPR) certification
Criminal Background Clearance:
True Health is a Health Center Program grantee under 42 U.S.C. 254b, a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n), and partners with agencies that require criminal background checks. True Health has established policies and procedures that may influence the overall employment process, hiring, and “just cause” for the termination of employees. An employee's career could be shortened if there is a violation of any policies and procedures.
Prohibited criminal behavior is defined in Florida Statute (F.S.) 408.809. Any employee arrested for any offense outlined in the F.S.408.809 will be immediately suspended and remain suspended until the charges are disposed of in court. The employee will be terminated for an arrest or conviction of any violation listed above.
DRUG/ALCOHOL SCREENINGS
A post-offer drug and alcohol screen is a requirement for employment. Failure to successfully pass the drug/alcohol screen will be cause for the offer to be rescinded. Employees are subject to random drug/alcohol screenings throughout the duration of their employment with True Health. If an employee fails to pass the drug/alcohol screening, then this shall become grounds for discipline up to and including immediate termination.
WORK ENVIRONMENT
The employee is subject to prolonged periods of sitting at a desk and working on a computer.
The employee is occasionally subject to prolonged periods of standing
The employee is subject to perform repetitive hand and wrist motions.
The employee is frequently required to stand, walk, talk, and hear.
The employee is occasionally required to use hands to handle or feel objects, reach with hands and arms, stoop, kneel, crouch, and move or lift up to twenty-five (25) pounds.
The employee is required to use close vision, peripheral vision, depth perception, and adjust focus.
A reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
WORKING CONDITIONS
The employee will work as the needs of the operation require. Normal work days and hours are Monday through Thursday, 8am - 6pm and Fridays, 8am - 12pm; however, there will be times when the employee will need to come in or work on “off hours” or “off days” to meet the needs of the position.
Auto-ApplyRN Weekend Supervisor (Registered Nurse)
Registered nurse manager job in DeLand, FL
RN Weekend Supervisor (Registered Nurse)
Villa Health and Rehabilitation Center is looking for an RN (Registered Nurse) to join their Team as a Part Time RN Weekend Supervisor Every Other Weekend!
About us: Villa Health and Rehabilitation located in Deland, FL. is a quiet and relaxing community, providing top of the line care and rehabilitation services, designed around our residents needs. Through personalized care plans our residents experience quality care in a close-knit community.
While working here, you will enjoy:
Benefits:Depending upon your job classification you
may
be eligible for participation in our comprehensive benefits program.
Health, dental, vision and life insurance.
Your well-being is important, and we value it.
Paid time off.
Because as much as you love your job, we want you to also love having time to be you.
A 401K retirement plan.
You're our company's future; let us help you take care of yours.
Continuing education credits.
Life, learning, and education are our top priorities
Summary of the RN Weekend Supervisor:
Responsible for supervision of the delivery of care to residents. Assess resident needs, develop care plans, administer nursing care, evaluate nursing care, and supervise CNA's and other personnel in the delivery of nursing care.
Qualifications
Job Requirements of the RN Weekend Supervisor:
Registered Nurse with current state license in Florida.
One (1) to three (3) years related experience; supervisory experience preferred.
Must have a current/active CPR certification.
Excellent technical, assessment and documentation skills.
Effective verbal and written English communication skills.
Demonstrated basic to intermediate skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.
Highest level of professionalism with the ability to maintain confidentiality.
Ability to communicate at all levels of organization and work well within a team environment in support of company objectives.
Customer service oriented with the ability to work well under pressure.
Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.
Strong analytical and problem solving skills.
Ability to work with minimal supervision, take initiative and make independent decisions.
Ability to deal with new tasks without the benefit of written procedures.
Approachable, flexible and adaptable to change.
Function independently, and have flexibility, personal integrity, and the ability to work effectively with employees and vendors.
Responsibilities
Essential Duties & Responsibilities of the RN Weekend Supervisor:
Complete assessments of residents at admission and discharge.
Supervise nursing staff assigned.
Document services rendered to residents for billing purposes.
Write admission notes or evaluate admission notes and chart additional essential information.
Identify and prioritize primary nursing problems.
Develop care plan addressing immediate nursing problems.
Make daily rounds to monitor resident care and status or residents.
Implement care plans for residents in compliance with physician's orders.
Implement established nursing policies and procedures, educating nursing support staff according to facility guidelines.
Notify resident or legal representative of pending discharge twenty four (24) hours in advance.
On date of discharge, chart complete discharge summary, to include discharge planning and referrals.
Keep complete and accurate record of sign in/out sheets for staffing hours.
Assign duties to LPN's and nursing assistants, as directed.
Work closely with the Director of Nursing in resolving grievances with nursing staff, family members, and residents.
Promote favorable working conditions and relationships with the administration, medical staff, consultants, other departments, residents, family members, volunteers, agencies, and any other individual or group affiliated with the facility.
Handle and report disciplinary action that requires immediate attention during your tour of duty in the absence of the Director of Nursing, Assistant Director of Nursing and Administrator.
Review charting on a weekly basis for accuracy and completeness. Document in resident's chart pertinent information about significant change in resident's condition.
Maintain a safe working environment, complying with infection control and body mechanic procedures.
Respond to need for staffing shortages by arranging for replacement staff.
Track infection control, exposure control, and resident care trends to provide proactive improvement. Identify areas of concern and offer recommendations and suggestions to the Director of Nursing.
Inform Central Supply of any supplies that are needed.
Other special projects and duties, as assigned.
Auto-ApplyRN Case Manager $4,500 Bonus
Registered nurse manager job in Titusville, FL
The RN Case Manager (RNCM) is a registered nurse who is responsible for the accurate assessment of each patient's status, problems and needs. The RNCM, in conjunction with other members of the Interdisciplinary Team, designs and implements an individualized Plan of Care from admission to discharge/death. The RNCM serves as the coordinator of hospice care for the patient and their family. All care directly provided or coordinated by the RNCM is in conformance with federal/state regulations.
PRIMARY RESPONSIBILITIES:
Collects and analyzes data from patient's medical history, nursing assessment and staff input to develop a written, individualized Plan of Care which meets the needs of the patient.
Coordinates nursing care with other Interdisciplinary Team members, including leading the presentation during Interdisciplinary Team meetings, case conferences and discussions with St. Francis Reflections (SFR) medical staff and the patient's attending physician.
Prepares complete and accurate documentation in accordance with all SFR policies and procedures, Federal/State regulations and Medicare/Medicaid guidelines.
Maintains strict confidentiality and respect for patient/family privacy and possessions.
Practices Universal Precautions and safety at all times.
Teaches patient/family skills needed to maintain patient in comfort and perform personal hygiene activities.
Provides emotional support to patient/family and other caregivers.
EDUCATION AND/OR TRAINING REQUIRED:
Requires an Associate degree in nursing or a diploma certificate from an approved nursing program. Bachelor's degree preferred.
CERTIFICATIONS/LICENSES REQUIRED:
Requires a valid current Florida Registered Nurse License and a valid Florida Driver's License.
EXPERIENCE/SPECIFIC SKILLS AND ABILITIES REQUIRED:
One to two years' experience in home health, oncology, acute care or public health. Ability to read, write and speak English. Bi-lingual preferred. Ability to manage time and coordinate a caseload with minimum direct supervision. Excellent communication and interpersonal skills.
PHYSICAL REQUIREMENTS:
Ability to lift, push, pull twenty five (25) pounds without difficulty. Good visual and audio acuity. Ability to work effectively under varying degrees of stress.
Travel Registered Nurse - Med/Surg Telemetry - $1,465 per week
Registered nurse manager job in Titusville, FL
Premier Medical Staffing Services is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Titusville, Florida.
Job Description & Requirements
Specialty: Med Surg / Telemetry
Discipline: RN
Start Date: 01/05/2026
Duration: 13 weeks
36 hours per week
Shift: 12 hours
Employment Type: Travel
Premier Medical Staffing Job ID #607173. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN
About Premier Medical Staffing Services
Premier Medical Staffing Services, LLC is a nationally expanding healthcare staffing firm for healthcare professionals and companies. We understand our clients' need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. Premier Medical Staffing Services is Joint Commission Certified, a Military Spouse Employment Partner and is certified as a Women's Business Enterprise. We are proudly nurse owned.
Nurse Supervisor - WARM
Registered nurse manager job in Bunnell, FL
Top reasons to work for SMA Healthcare: * Career growth and advancement potential * Great benefits such as: Health, Dental, Vision, Life, & Disability Insurance * Tuition Reimbursement * Paid Personal Leave and Paid Holidays * 403b Retirement Plan (matches one to one of employee contribution for the first 3%, then a 50% match on the next 6% of employee contribution)
Essential Job Functions:
* Directs the nursing operations at their location including scheduling/authorizing nursing staff work hours to assure appropriate coverage.
* Participates in nursing staff recruitment, interviewing, and hiring.
* Develops and implements staff orientation and training, and manages student training.
* Provides nursing care within the scope of state licensing to clients as assigned.
* Participates as a part of a treatment team and consults with other health care team members to coordinate care.
* Accomplishes laboratory testing and referral for health needs as indicated.
* Assists in formulating staff performance evaluations.
* Assists program staff in clinical and administrative decision-making.
* Assesses situations and uses sound judgment in applying medical or emergency intervention techniques.
* Handles verbal and /or physically abusive, aggressive clients by utilizing aggression control techniques to ensure the safety.
* Maintains a safe, therapeutic environment according to the SMA Safety/Risk Management Plan and agency approved crisis intervention techniques.
* Assists with defining scope of care, building collaborative relationships and infrastructure, and ensuring fidelity to program values and goals.
* Reviews Seclusion and Restraint packets/logs, daily safety rounds of all units, MAR/Chart checks to ensure compliance of standards, and implements and records appropriate interventions.
* Communicates effectively verbally and in writing with clients, peers, professionals, community agencies and the general public.
* Demonstrates effective cost management strategies, and coordinates resources.
* Assesses customer satisfaction and compliance with services.
* Documents activities, records services and outcomes, and submits confidential reports as required.
* Maintains knowledge of trends, best practices, and regulatory changes related to their program(s).
* Effectively participates in assigned meetings.
* Ensures that assigned personnel are informed of all pertinent information they need to perform their roles effectively, and that they are held accountable for meeting all applicable administrative standards, practices and requirements.
* Monitors and maintains components of their facility for safety and cleanliness as required by program.
* Performs others tasks as required.
Qualification Requirements: 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.
Minimum Education and/or Experience: Graduation from an accredited school with a Bachelor's Degree in an area pertinent to the program/department responsibilities, and two years of directly related experience required. One year of experience providing supervision preferred. Additional education, experience, and/or certification may be required per program/department guidelines. As allowed by program/department, a combination of education and experience may be substituted for the degree requirement.
Knowledge/Skills/and Abilities:
* Knowledgeable and demonstrates competency in current principles and practices of health care delivery to chemically dependent adults and adults who have a mental health diagnosis.
* Demonstrates ability to quickly assess situations and use sound judgment in applying de-escalation, medical or emergency intervention techniques.
* Demonstrates competency in surveillance, prevention and control of infections.
* Demonstrates knowledge and competency in timely and accurate documentation of client care, and in accordance with SMA policy and procedure.
* Must have excellent communications skills and be able to interact with staff and stakeholders in a professional and diplomatic manner.
* Demonstrates knowledge of community referral resources and make appropriate referrals to those resources to meet the needs of clients.
* Demonstrates familiarity with software programs used at SMA, or the ability to learn them in a reasonable period of time.
Nurse Case Manager I
Registered nurse manager job in Altamonte Springs, FL
Shift: Monday - Friday; 1st shift
Polk County (City: Winter Haven, St Cloud, Haines City) , Osceola County (City: Davenport, Kissimmee), Orange County (Winter Garden, Orlando)
Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law
The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.
How you will make an impact:
Ensures member access to services appropriate to their health needs.
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
Coordinates internal and external resources to meet identified needs.
Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
Negotiates rates of reimbursement, as applicable.
Assists in problem solving with providers, claims or service issues.
Minimum requirements:
Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Current, unrestricted RN license in applicable state(s) required.
Multi-state licensure is required if this individual is providing services in multiple states.
Preferred skills, capabilities, and experiences:
Spanish speaking bilingual strongly preferred.
2+ years of experience with the pediatric population strongly preferred.
Certification as a Case Manager is preferred.
For URAC accredited areas the following applies:
Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Multi-state licensure is required if this individual is providing services in multiple states. Certification as a Case Manager and a BS in a health or human services related field preferred.
Job Level:
Non-Management Exempt
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed Nurse
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplyDisease Management Nurse Supervisor
Registered nurse manager job in Lake Mary, FL
Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
• The role of the DMN Supervisor will encompass but will not be limited to the following activities:
• Provides counseling and clinical assessments to patients following the clinical protocols and guidelines. Collects clinical data to fulfill clinical program requirements specific to drugs or disease.
• Offers leadership in solving clinical issues as they arise; consulting the Nurse Manager as needed.
• Maintains the knowledge necessary to set standards for the clinical team.
• Plans, organizes, oversees, audits and evaluates the nursing department activities.
• Consistently monitors Taske to evaluate nurse availability.
• Assists in conducting team meetings and huddles with the nursing department.
• Covers for other members of the nursing department as needed (daily as well as on-call schedule).
• Responsible for the alteration of daily nursing department schedules and duties.
• Prepares clinical reports as requested by management.
• Maintains required certification for programs supported by Axium (Celgene, Novartis, etc.)
• Ensures nursing department adherence to manufacturer, FDA and payer requirements regarding the clinical follow-up schedule, checklist completion and reporting of adverse events.
• Communicates to internal departments regarding patient, provider, payer or process concerns.
• Assists with nursing department recruitment and onboarding.
• Oversees an orientation plan for new nursing department staff and assists with reviews.
• Assists in providing clinical education to new non-clinical associates.
• Makes clinical decisions and resolve issues in the absence of the nurse manager.
• Other responsibilities as assigned by management.
Qualifications
• RN with 2-5 years of experience as a disease management nurse,
• One year of leadership experience required; they person could have been a lead or supervising a couple individuals and looking for the next step in their career
Additional Information
Hours for this Position:
M-F 9-6 MOST LIKELY (BUT must be flexible in a supervisory level position, between 8-8 M-F.)
Advantages of this Opportunity:
• Competitive salary $58000-$62000 per yr.
• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
• Growth potential
• Fun and positive work environment
Clinical Supervisor - RN
Registered nurse manager job in Titusville, FL
Come launch the next step in your career where America launched its Space Program. Brevard Health Alliance, Brevard County's only Federally Qualified Health Center, is currently recruiting for a Clinical Supervisor - RN to join us in the heart of Brevard County's Space Coast. Since 2005 our focus has been on putting the "community" in Community Health while delivering healthcare to more than 60,000 unique patients annually.
Brevard Health Alliance offers competitive salaries, a comprehensive hiring package that includes Medical, Dental, Vision, Short and Long-term Disability Coverage and a 401K with company match, a generous personal leave program, a National Health Service Corps (NHSC) Approved Site for Loan Repayment and Qualified Employer for Public Service Loan Forgiveness, tuition assistance for continuing education, professional development, and the opportunity for upward mobility.
We are expanding, we are growing. If you would like the genuine opportunity to make a profound difference in the delivery of primary care and community health, we invite your interest and application after reviewing the specifics and requirements for the Clinical Supervisor - RN listed below.
POSITION SUMMARY
The Clinical Supervisor demonstrates leadership, and expertise in improving high quality, evidence-based care for culturally diverse populations with acute and/or chronic illness in the Brevard Health Alliance (BHA) outpatient care setting. Clinical Supervisor promote patient and staff safety, ensuring adequate staffing, and appropriate use of policies, protocols and guidelines. The Clinical Supervisor is responsible for assessing, planning, implementing and evaluating patient flow, quality care and productivity related to the BHA primary care medical home. They provide leadership for teamwork and team building for all clinical, ancillary and administrative staff. The Clinical Supervisor is an integral part of the primary care medical home team responsible for the oversight of both administrative and clinical duties.
Based on education/experience, the Clinical Supervisor will be assigned responsibility as a preceptor to new staff/trainees. The Clinical Supervisor would also take direction from the Director of Clinical Operations.
GENERAL EDUCATION REQUIREMENTS
Graduate from a program accredited by the National League for Nursing Accrediting Commission (NLNAC), or the Commission on Collegiate Nursing Education (CCNE) and has met licensure requirements for practice.
Must have an Associate Degree in Nursing, Bachelor of Science in Nursing, preferred.
ADDITIONAL QUALIFICATIONS
* Current Florida/compact Nursing License (RN)
* Minimum of five (5) years nursing experience
* Two (2) years recent experience in an outpatient/ambulatory care setting preferred
* Current Basic Life Support (BLS)/CPR certification from the American Heart Association or the American Red Cross
* Proficient in Electronic Medical Records (EMR)
* Demonstrates strong oral and written communication skills
* Ability to work with minimal supervision in various outpatient settings, is motivated, self- directed, and demonstrates initiative
ROLE
The Clinical Supervisor - RN is accountable for adhering to established policies and standards of care and practice. He/she is responsible for supervision and administration of nursing care delivery, managing nursing personnel and coordinating all related activities. The Clinical Supervisor -Registered Nurse (RN) is responsible for the global oversight of Primary Care Medical Home team to achieve desirable patient outcomes through day-to-day and/or telephonic case management. The Clinical Supervisor - RN assists with the development, assessment, implementation, and monitoring/evaluation of comprehensive plans of care to ensure efficient, effective, and coordinated care in meeting and promoting standards of wellness. He/she coordinates an interdisciplinary approach to assure physical, psychosocial, and environmental needs and resource delivery to achieve patient goals, The Clinical Supervisor - RN relates in an open, friendly manner, shows interest in others, and initiates and develops interdisciplinary relationships for a broad spectrum of resources. He/she acts as an advocate seeking and coordinating solutions for self and members of the team. The RN adheres to established policies, standards of care, and standards of practice; demonstrates leadership when providing nursing care; and serves as a role model and team leader.
The Clinical Supervisor - RN is also responsible and accountable for demonstrating the clinical, educational, experiential, and knowledge/practice-based competency requirements.
PRIMARY ACCOUNTABILITIES
* Provides leadership for teamwork and team building with clinical staff.
* Supports and works collaboratively with medical home team to move the clinic towards positive outcomes.
* Performs clinic or telephone triage within established standards. Notifies or consults with Provider, as needed. Documents appropriately in EMR
* Completes patient medical history within established standards. Verifies chart for completeness.
* Responsible for running various reports from EMR and provides completed analysis to Director of Clinical Operations upon request.
* Maintains daily patient flow to ensure patients will be seen as soon as possible using all available resources in EMR.
* Ensures patients are up to date on all immunizations and are documented correctly in Electronic Medical Record (EMR) and Florida Shots.
* Coordinates clinical activities in assigned location and collaborates with other BHA clinical locations. Ensures consistency of processes across location.
* Participates in recruitment process, associate coaching and performance review process.
* Responsible for collaborating with manager regarding annual competencies for clinical staff.
* Responsible for ensuring laboratory point of care testing compliance.
* Helps maintain established productivity standards for providers.
* Assists in the management of the nurse line and critical line.
* Works on Quality Improvement and organizational projects as directed.
* Responsible for the oversight of clinical staff, day-to-day clinical operations, as well as clinical compliance.
* Staff management: ensures all providers have adequate support staff needed to cover clinic hours
* Responsible for the oversight of Vaccines for Children Program, Vaccine for Adult Program and private vaccine management. He/she is responsible for appropriate Florida shots documentation as well as the vaccine emergency procedures.
* Understands and promotes Uniform Data Safety (UDS) for clinical oversight and improvement.
* Possesses general knowledge of policies and procedures that relate to daily clinical operations.
* Ensures consistent application of the policies/procedures and protocols of BHA in collaboration with Providers and business staff.
* Is responsible for ensuring coverage of desktop, prescription refills, telephone notes, lab work and other incoming requests.
* Works closely with managers and administration to best utilize and share staff in times of need.
* Collaborates with manager in completing Annual Reviews and submit to Human Resources (HR) within 30 days of Associate's annual anniversary.
* For new associates, complete 90-day reviews and submit to HR within 1 day of Associate review date.
* Ensure adherence to Positive Discipline Corrective Action policy with appropriate supporting documentation submitted to HR.
* Perform other related duties as assigned.
* Takes ownership and represents Brevard Health Alliance's mission and organizational goals established by the executive committee. These include, but are not limited to: Productivity, Quality, Patient Satisfaction, and Employee Retention. It is the duty of each BHA employee to incorporate these goals into all daily work routines, and strive to achieve and surpass all goals by working as a team. The mission and goals of BHA will be incorporated into each associate's performance plan to be evaluated annually.
Weekend Nursing Supervisor
Registered nurse manager job in Eustis, FL
The mission of the Nursing Department is to provide individualized comprehensive quality care to all residents, which is consistent with the Nursing Home mission. Promotes a safe, cooperative and professional health care environment to ensure optimum patient care.Makes Customer Servicea priority, treating customers (residents, visitors, and co-workers) in a professional manner exercising courtesy and tact. Effectively communicates with residents and others about The Plaza's services in their area(s) of expertise or responsibility and ensures that concerns, questions or issues reach the right person. 4. Demonstrates the ability to Assess the resident accessing physical and psychosocial a skills; including resident's developmental age
a) Utilizes appropriate assessment skills according to resident's needs and ADL level.
b) Utilizes other resources to obtain pertinent data to complete assessment, (i.e., medical records, other health team members, etc.)
c) Identifies and highlights data obtained from the assessment that must be communicated to other personnel (i.e., history of falls, allergies, etc.)
d) Documents physical and psychosocial assessment findings.
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Registered Nurse - Care Manager at Lake Mary Hospital
Registered nurse manager job in Lake Mary, FL
Department: LMH Care Management Status: Full-time (40 hours a week) Schedule: First Shift Title: Registered Nurse, Care Management Orlando Health Lake Mary Hospital The NEW Orlando Health Lake Mary Hospital represents Orlando Health's continued commitment to the Seminole County community, which we have proudly served for 40 years. As a comprehensive acute care facility, the hospital offers a full scope of medical and surgical services, including cardiovascular, general surgery, orthopedics, and women's services with labor and delivery, alongside a future NICU. Opening with 124 beds, the 455,000 square foot hospital will be able to expand to up to 240 beds. State-of-the-art facilities include operating rooms, catheterization labs, interventional radiology, a vascular lab, an ICU and a full-service emergency department. For labor and delivery, the hospital features six private suites thoughtfully designed to make you feel at home while providing exceptional medical care. Each suite includes a hydrotherapy tub for laboring, shower, recliner, adjustable bed with a squat bar, wireless and waterproof heart rate monitors for mom and baby, a smart board that integrates patient and nurse information from Epic, WiFi, and televisions. These modern amenities ensure a comfortable and supportive environment for every patient. Labor and delivery services, and a future neonatal intensive care unit 6 state-of-the-art operating rooms 3 catheterization labs with a dedicated interventional radiology and vascular lab Comprehensive cardiovascular care 16 ICU Beds Observation unit Outpatient Scripts Pharmacy Top Reasons to Choose Orlando Health - Lake Mary Hospital: BEST Place to Work, 5 years in a row! As a new hospital, Orlando Health Lake Mary offers unique opportunities for career advancement, leadership roles, and professional development. Benefits Package that begins on day one (Full-Time & Part-Time only). Flexible Schedules Tuition Reimbursement up to $5,000 a year. Promotes and facilitates effective management of hospital resources from admission to discharge, collaborating with the assigned clinical team to identify patients most likely to benefit from care coordination services to include assessing patients' risk factors and the need for care coordination, clinical utilization management and the transition to the next appropriate level of care. Responsibilities Essential Functions • Initially and concurrently assesses all patients within assigned population to include, but not limited to: o Accurate medical necessity screening and submission for Physician Advisor review o Care coordination that includes admitting diagnosis/ medical history, current treatments, age, payment source, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/ personal needs, and other relevant information. o Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning as appropriate through assessment and reassessment and the application of InterQual guidelines. o Leading and facilitating multi-disciplinary patient care conferences o Managing concurrent disputes o Making appropriate referrals to other departments o Identifying and referring complex patients to Social Work Services o Communicating with patients and families about the plan of care o Leading and facilitating Complex Case Review o Identification and documentation of potentially avoidable days o Identification and reporting over and underutilization • Ensures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval. • Adheres to Utilization Management Plan. • Integrates National standards for care management scope of services including: o Utilization Management supporting medical necessity and denial prevention o Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction o Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and appropriate level of care o Education provided to physicians, patients, families, and caregivers. • Communicates appropriately and timely with the interdisciplinary team and third-party payers. • Prioritizes activities in assigned areas to focus on high risk, high cost, and problem prone areas. • Develops collaborative relationships with patient business, nursing, physicians, and patient/family to facilitate efficient movement through the continuum of care. • Monitors and evaluates data, fiscal outcomes, and other relevant information to develop and implement strategies for improvement. • Forwards identified quality and/or risk issues appropriately. • Maintains positive relationships with outside/onsite reviewers and other payer representatives. • Identifies cultural, socio-economic, religious, and other factors that may impact treatment. • Involves patient's family in the development of the treatment plan as appropriate while explaining procedures, therapies, systems treatment plans, and discharge plans in age/developmental/educational specific terms to patient/family. • Reviews patient's discharge plan at multidisciplinary meetings and/or staffing to facilitate communication with other healthcare team members. • Prioritizes workload to manage multiple priorities while using problem-solving skills to meet goals. • Enhances professional growth by participating in educational programs, current literature and/or workshops. • Possesses excellent interpersonal skills and ability to work in a team environment. • Respects the rights and privacy of others and holds staff member information in strict confidence. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures. Qualifications Education/Training • Graduate of an approved school of nursing. Licensure/Certification • Must hold and maintain a current Florida RN license. • Handle with Care (HWC) Certification is required for the Behavioral Health Unit within 90 days of hire. The Handle with Care training and education will be provided onsite to all team members. Experience Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care.
Education/Training • Graduate of an approved school of nursing. Licensure/Certification • Must hold and maintain a current Florida RN license. • Handle with Care (HWC) Certification is required for the Behavioral Health Unit within 90 days of hire. The Handle with Care training and education will be provided onsite to all team members. Experience Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care.
Essential Functions • Initially and concurrently assesses all patients within assigned population to include, but not limited to: o Accurate medical necessity screening and submission for Physician Advisor review o Care coordination that includes admitting diagnosis/ medical history, current treatments, age, payment source, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/ personal needs, and other relevant information. o Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning as appropriate through assessment and reassessment and the application of InterQual guidelines. o Leading and facilitating multi-disciplinary patient care conferences o Managing concurrent disputes o Making appropriate referrals to other departments o Identifying and referring complex patients to Social Work Services o Communicating with patients and families about the plan of care o Leading and facilitating Complex Case Review o Identification and documentation of potentially avoidable days o Identification and reporting over and underutilization • Ensures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval. • Adheres to Utilization Management Plan. • Integrates National standards for care management scope of services including: o Utilization Management supporting medical necessity and denial prevention o Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction o Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and appropriate level of care o Education provided to physicians, patients, families, and caregivers. • Communicates appropriately and timely with the interdisciplinary team and third-party payers. • Prioritizes activities in assigned areas to focus on high risk, high cost, and problem prone areas. • Develops collaborative relationships with patient business, nursing, physicians, and patient/family to facilitate efficient movement through the continuum of care. • Monitors and evaluates data, fiscal outcomes, and other relevant information to develop and implement strategies for improvement. • Forwards identified quality and/or risk issues appropriately. • Maintains positive relationships with outside/onsite reviewers and other payer representatives. • Identifies cultural, socio-economic, religious, and other factors that may impact treatment. • Involves patient's family in the development of the treatment plan as appropriate while explaining procedures, therapies, systems treatment plans, and discharge plans in age/developmental/educational specific terms to patient/family. • Reviews patient's discharge plan at multidisciplinary meetings and/or staffing to facilitate communication with other healthcare team members. • Prioritizes workload to manage multiple priorities while using problem-solving skills to meet goals. • Enhances professional growth by participating in educational programs, current literature and/or workshops. • Possesses excellent interpersonal skills and ability to work in a team environment. • Respects the rights and privacy of others and holds staff member information in strict confidence. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures.
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