A-Line Staffing Solutions
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Job Title: Nurse Case Manager II - Transition OD Care RN Address: Tampa, FL Hours: M–F, 8:00am – 5:00pm (Full Time) Job Description
Critical Information
Education/Licenses Needed
This is an AI-generated job description, therefore this does not remove human decision-making. ```
*Nurse Case Manager II - Transition OD Care Registered Nurse
Posted: 06/13/2025
2025-06-13
2025-07-13
Job Number: 152833
Job Description
Job Title: Nurse Case Manager II - Transition OD Care RN Address: Tampa, FL Hours: M–F, 8:00am – 5:00pm (Full Time) Job Description
- Applies critical thinking and evidence-based clinical criteria to support contractual rebalancing goals.
- Completes at least 10 NF member assessments weekly.
- Supports the Health Plan Rebalancing Initiative goal of successful transitions.
- Assesses, identifies, screens, and transitions NH members into the community.
- Follows up on CM referrals and visits current NH members in-person at least twice a week.
- Completes telephonic or in-person contact to assess the home prior to discharge.
- Conducts an in-person Significant Change Visit with member and Rep if applicable within 5 days of transition.
- Coordinates provision of services as needed, establishes Plan of Care, and documents all actions taken.
- Contacts facility's Business Office once a week to follow up on members' census.
- Works collaboratively with case managers to identify high-risk community members.
- Drives enhanced value of health care to increase member satisfaction and retention.
- Engages in building strong relationships that contribute towards member satisfaction and retention.
- Involved in at least two community relations events per year.
Critical Information
- Candidate must reside in the Tampa area and be able to travel to facilities within the regions/neighboring counties.
- Local travel up to 75% required.
- Prior CVS/Aetna work experience: No.
- Verifyable High School Diploma or GED Required: Yes.
- Is this request for Peak Season? N/A - Not RAMP Related.
- Onsite Requirements: Fully remote (never coming onsite).
Education/Licenses Needed
- Active, unrestricted, and good standing RN license in the state of Florida.
- Education: Associate Degree Required and BSN preferred.
- Minimum 2 years of clinical experience required.
- Bi-Lingual Spanish/English required.
- Position requires proficiency with computer skills, including navigating multiple systems.
- Ability to work in a fast-paced environment.
This is an AI-generated job description, therefore this does not remove human decision-making. ```