Case Management Registered Nurse

Registered Nurse – Case Manager

Schedule : Monday–Friday, 8 : 00 am - 5 : 00pm

Location : Lady Lake, FL

Position Summary

The Registered Nurse (RN) plays a vital role in supporting the interdisciplinary care team by ensuring accurate documentation, coordinating care activities, and assisting with benefit determinations related to Medicare Parts A, B, and D. This role requires collaboration with providers, advanced practice clinicians (APCs), and facility staff to identify and respond to changes in patient conditions, facilitate communication, and ensure quality care delivery for patients with complex medical needs.

Primary Responsibilities

• Ensure accurate, complete, and timely clinical documentation.
• Communicate and collaborate effectively with the interdisciplinary care team.
• Assist providers and team members with various care coordination activities.
• Support benefit determinations associated with Medicare Part A, Part B, and Part D.
• Collaborate with the primary APC and facility staff to identify and respond to patient changes in condition.
• Coordinate therapy services and assist with therapy-related care plans.
• Participate in facility-based meetings, family conferences, and team case presentations.
• Coordinate training, track compliance, and ensure adherence to quality measures.
• Assist in creating and conducting in-services for selected audiences.
• Support providers in ensuring complete and accurate documentation, coding, medication reconciliation, nursing rounds, and patient assessments.
• May write verbal orders from providers in compliance with state RN practice laws and facility policies.
• Assist in managing members through acute medical situations or exacerbation of chronic conditions, including coordinating diagnostics, testing, and interventions.
• Support members during short-term sub-acute rehabilitation episodes.

Required Qualifications

Preferred Qualifications