Job Description
JOB DESCRIPTION
Insight Global is seeking a Care Manager (RN) for a top healthcare services client. This individual will lead care coordination efforts for high‐risk patients, ensuring smooth transitions across care settings and appropriate utilization of healthcare resources.
The ideal candidate is clinically strong, patient‐focused, and comfortable working both onsite and telephonically while partnering closely with providers and multidisciplinary care teams to improve outcomes and patient experience.
Day‐to‐Day:
• Ensure continuity of care across inpatient and outpatient settings
• Lead care management efforts in partnership with PCPs and the care team
• Identify and follow high‐risk patients across acute, SNF, custodial, and ambulatory settings
• Coordinate treatment plans and appropriate utilization of resources
• Conduct patient and family education related to care plans and transitions
• Support discharge planning, follow‐up appointments, home health, and community resources
• Use disease management protocols and care pathways to optimize outcomes
• Perform telephonic triage and motivational interviewing to support self‐management
• Document care activities in the EHR and care management systems
• Collaborate closely with physicians, hospitalists, and extended care facilities
• Travel locally or provide remote coverage as business needs require
REQUIRED SKILLS AND EXPERIENCE
• Active Florida RN license
• Graduation from an accredited school of nursing
• BLS / CPR certification (AHA or Red Cross; or ability to obtain within 90 days)
• Prior experience in acute clinical care or equivalent
• Experience in care management, utilization review, or discharge planning
• Strong knowledge of HIPAA and patient confidentiality
• Ability to work collaboratively with providers and multidisciplinary care teams
• Strong patient communication, organization, and multitasking skills
NICE TO HAVE SKILLS AND EXPERIENCE
• Experience in an acute care setting
• Prior HMO or managed care experience
• Experience with Transitions of Care programs
• Experience working with high‐risk patient populations
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