Job Description

As an RN Case Manager on the evening shift, you will lead utilization review, coordinate discharge planning, and ensure appropriate patient care status across multiple units including ED, Med/Surg, Telemetry, Neuro, ICU, and PCU. Reporting to the Director of Case Management, you will drive collaboration between clinical teams and payers to improve patient flow, reduce length of stay, and prevent avoidable readmissions.

Schedule:

• Evening Shift: 12:00 PM – 8:30 PM ET

• One weekend per 4-week schedule

Key Responsibilities

• Conduct comprehensive clinical and psychosocial patient assessments

• Develop criteria-driven plans of care with clear discharge goals

• Lead interdisciplinary team huddles, facilitating collaboration among physicians, nurses, therapists, pharmacy, and social work

• Perform medical necessity reviews, manage patient status conversions, and execute utilization reviews

• Document interventions, communicate with third-party payers, and track trends for performance improvement

• Identify and remove barriers to care and throughput to reduce length of stay and prevent readmissions

• Coordinate post-acute care placements and connect patients/families with community resources

• Ensure compliance with regulatory, ethical, and quality standards

Qualifications

Required:

• Current RN license in Florida or Compact (must obtain Florida RN license within 90 days if Compact)

• 3 years recent (within last year) acute care RN case management experience OR 3 years acute RN experience in Med/Surg, Telemetry, Neuro, ICU, PCU, or ED with strong utilization review/throughput skills

• Associate Degree or Diploma in Nursing

Also Considered (if acute background met):

• Home Health or Insurance Case Management experience (with 3 years total acute RN experience, including ≥1 year acute within last 5 years)

• APRN license acceptable if current and compliant

Preferred:

• BSN degree

• Certification in Case Management, Utilization Review, or Nursing (e.g., CCM, ACM, RN-BC)

Additional Information

Join a 280+ bed acute care hospital’s Case Management team in Tallahassee, delivering high-quality, patient-centered care. Our hospital is dedicated to optimizing patient outcomes through coordinated interdisciplinary care, efficient utilization review, and safe discharge planning.

Benefits

• Medical, dental, and vision insurance

• Behavioral health and telemedicine services

• 401(k) with 100% match (3–9% based on years of service)

• Employee Stock Purchase Plan (10% discount)

• Paid time off, family leave, and disability coverage

• Tuition assistance and student loan repayment programs

• Wellness programs and employee assistance

• Recognition and professional development initiatives

How to Apply

If you meet the qualifications and want to join a supportive team committed to quality care and patient advocacy, apply today!

Hashtags & Keywords

#RNCaseManager #CaseManagement #UtilizationReview #DischargePlanning #Throughput #LengthOfStay #AcuteCare #EveningShift #FloridaRN #CompactRN #TallahasseeJobs #NurseJobsFL

Keywords: RN Case Manager, Acute Care Case Management, Utilization Review, Concurrent Review, Admission Status, Level of Care, Discharge Planning, Throughput, Readmission Prevention, Observation Management, Interdisciplinary Collaboration, Payer Communication, Prior Authorization, Medical Necessity, Transitions of Care, Community Resources, Leon County, Gadsden County, North Florida