Care Manager Registered Nurse

Job Summary

The Care Manager – RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Essential Functions

• Conduct daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
• Collaborate with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
• Develop and implement discharge plans, coordinating post‑hospital placement and social services to meet patient needs.
• Refer cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
• Serve as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
• Facilitate interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
• Maintain accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
• Provide assistance to patients, families, and physicians regarding discharge planning and post‑hospital care options.
• Perform other duties as assigned.
• Maintain regular and reliable attendance and comply with all policies and standards.

Qualifications

• Associate Degree in Nursing (required).
• Bachelor's Degree in Nursing (preferred).
• 2–4 years of clinical nursing experience in a hospital, home health, or nursing home setting (required).
• 2–4 years of care management experience (preferred).

Knowledge, Skills, and Abilities

• Strong understanding of case management principles, discharge planning, and transitions of care.
• Knowledge of federal, state, and Joint Commission standards related to case management.
• Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
• Ability to assess complex situations, identify solutions, and implement care plans efficiently.
• Proficiency in electronic medical records (EMR) and documentation systems.
• Strong organizational and time‑management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

• RN – Registered Nurse – State Licensure and/or Compact State Licensure (required).
• Accredited Case Manager (ACM) (preferred).
• CCM – Certified Case Manager (preferred).
• BLS – Basic Life Support (preferred).

About North Okaloosa Medical Center

North Okaloosa Medical Center provides convenient care in a comfortable setting. With more than 600 employees, 150 physicians on staff, and over $12 million in recent capital upgrades and renovations, the hospital blends clinical expertise and advanced technology with sincerity and compassion. The organization is dedicated to the community hospital experience, emphasizing human interaction as essential to quality care and striving to anticipate and exceed the expectations of patients and their families.