Hospital Care Coordinator - RN Case Management Job at IntelyCare (Clearwater)

Director, RN Case Management

The Director, RN Case Management provides strategic and operational leadership f...

Location

United States , Denver, Colorado

Salary:

115700.00 - 150500.00 USD / Year

InnovAge

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Nursing (BSN)
Current state-issued Registered Nurse (RN) license
5+ years of experience in acute care coordination, case management, or discharge planning
2+ years of leadership or supervisory experience in a clinical setting
Demonstrated success in performance management, operational execution, and cross-functional collaboration
Experience in quality improvement, compliance adherence, or care coordination oversight

Job Responsibility

Leads, develops, and supports RN Case Managers, including recruitment, onboarding, coaching, and performance management
Establishes division-wide workflows, standards, and best practices for acute and post-acute care coordination
Partners with the VP of Nursing Operations and clinical leadership to implement staffing strategies, workload balancing, and coverage expectations for case management services
Oversees daily operational execution of case management functions, ensuring timely coordination, documentation, and communication across care teams
Ensures RNs receive training and ongoing development to maintain clinical competency in transitional care and utilization management
Oversees the experience of participants during hospitalization and post-acute stays, ensuring high-quality transitions and strong communication
Responds to escalated participant concerns in coordination with Center Directors, providers, and Quality teams
Ensures RN Case Managers collaborate effectively with participants, families, caregivers, and IDT members to support person-centered care plans
Monitors service KPIs and drives improvements in communication, responsiveness, and participant satisfaction during transitional care periods
Ensures division performance aligns with quality metrics related to readmissions, skilled days, length of stay, and transition-of-care outcomes

What we offer

medical/dental/vision insurance
short and long-term disability
life insurance and AD&D
supplemental life insurance
flexible spending accounts
401(k) savings
paid time off
company-paid holidays

Fulltime

Care Management Specialist II, D-SNP Team

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Case Manager TMC Rincon

Works with physicians and multidisciplinary team members to develop a plan of ca...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Bachelor's degree in nursing or associate degree in nursing
Two (2) years of nursing or case management experience
For NICU – Three (3) years of NICU nursing experience
Current RN licensure permitting work in state of Arizona
Basic life support (BLS) required
Some departments may also require current CPR instructor certification, Neonatal Resuscitation Provider (NRP) certification
Knowledge of direct patient care and critical care procedures and techniques, tools, and responses required to ensure optimal patient care
Skill in evaluating cases and determining appropriate care and status
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
Ability to write reports, business correspondence and collaborate with case management leadership

Job Responsibility

Works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge
Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through assessment and/or evaluation
Assesses and responds to patient/family/care giver needs by coordinating efforts of other treatment team members
Identifies and resolves barriers that hinder effective patient care
Improves quality and completeness of documentation
Collaborates and communicates with multidisciplinary teams in all phases of discharge planning process
Assesses, creates, implements evaluates, and modifies timely discharge plans
Assesses, intervenes, and acts as a resource in medical-legal situations for patients and families
Enters nursing orders for their assigned patient caseload related to discharge planning and transitional care needs
Assists patients and families in making difficult decisions, while honoring their preferences and values

RN Case Manager

Under the general supervision of the Case Management Manager acts as a patient a...

Location

United States , Weymouth

Salary:

117707.20 - 170768.00 USD / Year

South Shore Health

Expiration Date

May 04, 2026

Requirements

Registered Nurse, Bachelors prepared strongly preferred
3-5 years acute care hospital experience preferred
Critical Care or Emergency Department experience highly desirable
RN - Registered Nurse license
ACM - Accredited Case Manager or CCM - Certified Case Manager within two years of hire
Demonstrated skills in: negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking, time management and ability to multitask in high stress environment
Knowledge of: healthcare financing, community and organizational resources, patient care processes, and data analysis
Knowledge of utilization management as it relates to third party payers
Knowledge of post-acute care community resources
Experience with Managed Care preferred

Job Responsibility

Acts as a patient advocate/Case Manager
Coordinates, negotiates, procures services and resources for, and manages the care of complex patients
Applies review criteria to determine medical necessity for admission and continued stay
Provides clinically-based case management, discharge planning and care coordination
Works collaboratively with interdisciplinary staff
Participates in quality improvement and evaluation processes
Works a weekend rotation and occasional holiday
Review medical records for appropriate utilization
Assist physician in determining medical necessity
Identify cases failing criteria

Fulltime

New

Registered Nurse Case Manager Emergency Room

The purpose of the RN Case Manager position is to support the physician and inte...

Location

United States , Boynton Beach

Salary:

72779.20 - 94612.96 USD / Year

Baptist Health

Expiration Date

Until further notice

Requirements

Associates Degree
Registered Nurse license
3 years of hospital clinical experience
1 year of Case Management experience required
1-3 years of hospital or payor Case Management experience preferred
Excellent interpersonal communication and negotiation skills
Strong analytical, data management and computer skills
Current working knowledge of discharge planning, utilization management, case management and performance improvement preferred
Understanding of pre-acute and post-acute venues of care and post-community resources preferred
Strong organizational and time management skills

Job Responsibility

Support the physician and interdisciplinary team in facilitating patient care
Enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care
Integrate and coordinate care facilitation and discharge planning functions
Work in partnership with the UR RN and Social Work Case Manager
Accountable for a designated patient caseload
Plan effectively to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources
Facilitate the collaborative management of patient care across the continuum
Intervene as necessary to remove barriers to timely and efficient care delivery and reimbursement
Apply process improvement methodologies in evaluating outcomes of care
Coordinate communication with the healthcare team, patients, families and post-acute care services

Parttime

RN Care Coordinator

The RN Care Coordinator is responsible for overseeing the progression of care an...

Location

United States , Los Angeles

Salary:

56.99 - 76.01 USD / Hour

CommonSpirit Health

Expiration Date

Until further notice

Requirements

Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience
California RN license
AHA BLS card
LA City Fire Card required within 90 days of hire
Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used
Able to apply clinical guidelines to ensure progression of care
Must have critical thinking and problem-solving skills
Collaborate effectively with multiple stakeholders
Professional communication skills
Understand how utilization management and case management programs integrate

Job Responsibility

Overseeing the progression of care and discharge planning for identified patients requiring these services
Perform this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations
Care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care
Advocate for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions
Strive to enhance the patient experience

What we offer

Sign-On Bonus not to exceed 10% of salary for qualified and experienced candidates
Medical, prescription drug, dental, vision plans
Life insurance
Paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
Tuition reimbursement
Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

RN Care Coordinator

The RN Care Coordinator is responsible for overseeing the progression of care an...

Location

United States , Los Angeles

Salary:

56.99 - 76.01 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience
California RN license
AHA BLS card
LA City Fire Card required within 90 days of hire
Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used
Able to apply clinical guidelines to ensure progression of care
Must have critical thinking and problem-solving skills
Collaborate effectively with multiple stakeholders
Professional communication skills
Understand how utilization management and case management programs integrate

Job Responsibility

Overseeing the progression of care and discharge planning for identified patients requiring these services
Perform this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations
Emphasis on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care
Advocate for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions
Strive to enhance the patient experience

What we offer

Medical, prescription drug, dental, vision plans
Life insurance
Paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
Tuition reimbursement
Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Parttime

Registered Nurse Navigator Population Health

The RN Navigator in Population Health is responsible for coordinating and managi...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Nursing preferred
3 years of clinical experience required
2 years of case management experience required
Experience working in a primary care value-based care organization is required
Knowledge of population health management principles is required
RN license in the state of employment or compact is required
One of the following certifications is required within 2 years of hire: Certified Case Manager (CCM) by CCMC or Nursing Case Management Certification (CMGT-BC) by ANCC
Must have strong clinical assessment skills
Must have excellent communication and interpersonal skills
Must be able to work independently and as part of a team

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Care Coordination of Complex/Chronic conditions: Manages and coordinates care for patients with chronic conditions, complex medical needs, and assists with Discharge Planning: Helps plan and coordinate the discharge process for members leaving hospitals or long-term care facilities, ensuring a smooth transition to home or another care setting
Care Coordination - Transitions of Care: Outreach to patients that qualify for Transitions of Care (IP Discharge) and ensure they understand their medications, educate patients on managing their conditions and knowing when to seek help, stressing the importance of scheduling and attending follow up appointments, and teaching them to recognize the signs that their condition might be worsening
Patient Assessment: Conduct comprehensive assessments to identify patient needs, barriers to care, and social determinants of health
Care Planning: Develop and implement individualized care plans based on patient assessments, clinical guidelines, and patient preferences. Focuses on reducing preventable admissions, readmissions, and preventable ED visits by supporting discharge planning to the next level of care and educating patients about the appropriate setting for care
Advocacy: Serve as an advocate for patients or clients, helping them to navigate the healthcare system, understand their treatment options, and access the services they require
Collaboration: Work closely with healthcare providers, social workers, and community resources to ensure a holistic approach to patient care
Monitoring and Evaluation: Track and communicate to PCPs and specialty care providers any significant changes to members' concerns, along with any updates on members’ status
Documentation: Maintain accurate and timely documentation of patient interactions, care plans, and outcomes in the electronic health record (EHR) system
Quality Improvement: Participate in quality improvement initiatives to enhance patient care and population health outcomes

Fulltime

Hospital Care Coordinator - RN Case Management

IntelyCare

Location:
United States , Clearwater

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
April 01, 2026

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