Case Manager RN

Gainesville, FL
Full Time
Entry Level

Case Manager RN – Full-Time
Location: Gainesville, FL
Shifts Available:

  • Day Shift: 8:00 AM – 4:30 PM (Rotating Weekends)

  • Evening Shift: 12:00 PM – 8:30 PM or 11:00 AM – 7:30 PM (Monday–Friday, No Weekends)

Pay & Incentives

  • Hourly Rate: $32.91/hr – $45.25/hr (commensurate with experience)

  • Shift Differentials: +$2.00/hr Evenings | +$2.00/hr Weekends

  • Sign-On Bonus: Up to $15,000

  • Relocation Assistance: Available (case by case)

About the Role

We are seeking a results-driven Case Manager RN with recent acute care or LTAC experience to coordinate discharge planning, utilization review, and care transitions in a fast-paced hospital setting. This is an ideal opportunity for RNs with strong clinical backgrounds (e.g., ICU, Med-Surg) who excel at critical thinking, communication, and teamwork.

Key Responsibilities

  • Conduct clinical assessments and determine appropriate level of care and admission

  • Lead discharge planning and coordinate transitions across the care continuum

  • Perform utilization review using InterQual or other evidence-based tools

  • Partner with physicians to evaluate patient progression and adjust care plans

  • Provide updates on insurance status and discuss potential denials with patients/families

  • Support surgery pre-admission processes and collaborate with provider offices

  • Maintain accurate documentation in MIDAS and electronic health records

  • Participate in interdisciplinary team (IDT) rounds and escalate care barriers

  • Collaborate with social workers, payors, and the physician advisor

  • Educate patients and families on discharge planning, benefits, and resources

  • Assist with payor denial management and Health Insurance Notifications (HINNs)

  • Stay up to date on CMS guidelines, managed care contracts, and compliance protocols

Qualifications

  • 1+ year of recent acute care RN Case Management experience required

    • OR 2–3 years of recent ICU or strong Med-Surg RN experience

    • LTAC case management experience considered

  • Active Florida RN license or Compact RN license (must obtain FL license within 60 days)

  • BLS (AHA) required within 30 days of hire

  • Associate Degree in Nursing required; BSN preferred

  • Case Management, Utilization Review, or Nursing certification preferred

  • Proficiency in InterQual required; experience with MIDAS a plus

  • Strong communication, time management, and decision-making skills

What Sets This Role Apart

  • Be part of a high-performing team at one of the region's only Comprehensive Stroke Centers

  • Excellent leadership support and career development

  • No weekends required for evening shift

  • Competitive total rewards package

Total Rewards & Benefits

  • Comprehensive medical, dental, and vision coverage

  • 401(k) with 100% match on 3%–9% of pay

  • Generous PTO, family leave, and disability benefits

  • Tuition reimbursement and student loan support

  • Certification support and continuing education opportunities

  • Employee Stock Purchase Plan (10% discount)

  • AirMed emergency transport, wellness programs, and telehealth access

  • Legal services, identity protection, and pet insurance

Keywords:

RN Case Manager, Florida Nurse Jobs, Case Management RN, Utilization Review Nurse, Hospital Discharge Planner, Acute Care RN, LTAC Nurse, Care Coordination, InterQual

Hashtags:

#CaseManagerRN #RNJobsFlorida #CareCoordination #UtilizationReview #HospitalCaseManagement #HiringNowRN #GainesvilleNurseJobs #AcuteCareNursing #DischargePlanning

Share

Apply for this position

Required*
Apply with Indeed
We've received your resume. Click here to update it.
Attach resume or Paste resume
Attach resume as .pdf, .doc, .docx, .odt, .txt, or .rtf (limit 5MB) or Paste resume

Paste your resume here or Attach resume file