RN Care Manager-Transition of Care

Orlando, FL 32789 | Work from home flexibility

Posted: 05/20/2025 Category: Nursing Job Number: BD022

Job Description

Job Title: Registered Nurse Care Manager-Transition of Care

Location: Candidate must reside in Orlando area and will service Orange, Osceola, Brevard, & Seminole Counties and be able to travel to facilities within the regions/neighboring counties.

Shift: MON-FRI 8am-5pm with some flexibility for start/stop times.

Pay: $38.00/hr.

Scheduled Pay: Weekly

Benefits: Health, Dental, Vision, Life Insurance, and short-term disability after 90 days

For more information, please contact Breanna D. directly at bdrollinger@alinestaffing.com

RN Care Manager Description/Duties

  • The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
  • Local travel up to 75%, rest of the time is work from home.
  • Complete at least 10 NF member assessments weekly.
  • Assess, identify, screen and transition NH members into the community
  • Follow up on CM referrals and visit current NH members in-person at least twice a week to complete the rebalancing events and screening assessments.
  • Complete telephonic or in-person contact to assess the home prior to discharge and identify any environmental supports needed to support transition (i.e. ramp, DME installation etc.).
  • Conduct an in-person Significant Change Visit with member and Rep if applicable, within 5 days of transition. Coordinate provision of services as needed, establish Plan of Care, and document all actions taken.
  • Work with case managers to identify high risk community members and implement appropriate interventions to prevent lapse or coordinate safe transition (Upon receiving referral)

Job Requirements

RN Care Manager Requirements

  • Requires an RN with unrestricted active license in FL.
  • Candidate must reside in FL and area of coverage.
  • Minimum 2 years of clinical experience.
  • Bi-Lingual Spanish/English required.
  • Preferred Skills: Managed Care experience-Discharge coordination experience-Transition of care experience-Home Health experience- Case Management experience

JOB ID# 152832

Keywords: Registered Nurse, RN, transition of care, care management, Home care, Case Manager, patient education, patient care, communication, education, documentation, EMR, managed care, DME, Medicare guidelines, patient care plans, coordination of care, community relations, telephonic, home visits, screening assessments, support transition, member assessments

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