A bit about us:

One of the TOP hospitals in South Florida as rated by U.S. News & World Reports is looking to hire a talented RN Case Manager for the growing division! Our Hospital has a supportive leadership team that offers all our employees extensive training programs, millions of dollars in tuition assistance and a generous, comprehensive benefits package!

Why join us?

  • Medical, Dental and Vision Coverage
  • 403B Retirement plan with match
  • Trustmark Universal Life with Long Term Care Benefits
  • Trustmark Cri1cal Illness
  • Trustmark Accident Plan
  • Trustmark Short Term Disability
  • Colonial Cancer Plan
  • Pet Insurance – Pet Assure
  • Preferred Legal Plan
  • ProtectMyID
  • Short term Disability Coverage
  • Generous Paid time off


Job Details

  • The RN Case Manager will conduct initial, concurrent, retrospective chart review for clinical financial resource utilization.
  • Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and denied days. The RN Case Manager will be accountable for a designated patient caseload and provides intervention, coordination to decrease avoidable delays, denial of reimbursement.
  • The RN Case Manager will screen pre-admission, admission process using established criteria for all points of entry.
  • Knowledge of INTERQUAL Criteria is preferred
  • Facilitates communication between payers, review agencies, healthcare team. Identify delays in treatment or inappropriate utilization and serves as a resource.
  • Coordinates communication with physicians. Identify opportunities for expedited appeals and collaborates resolve payer issues.
  • Ensures/Maintains effective communication with Revenue Cycle Departments.
  • RN Must have Associates Degree in Nursing and MUST complete their BSN Degree within 5 years of date of hire