Case Manager RN

Company: Genesis10
Location: Gainesville
Posted on: May 10, 2025

Job Description:

Genesis10 is currently seeking a Case Manager RN with our client in the healthcare industry located in Gainesville, FL. This is a full-time position.

All potential candidates should read through the following details of this job with care before making an application.

Compensation:
Salary Range: Min - $32.91/hr - $41.14/hr Midpoint (10 years of experience) - $45.25/hr Max (10+ years of experience)
Shift Differentials? Evenings - $2.00; Weekends - $2.00
Sign on bonus: up to $15k
Relocation assistance: Available on a Case by Case Basis

Available Shifts:
Day shift: 8:00 AM - 4:30 PM with Rotating Weekends
Evening shift: 12:00 PM - 8:30 PM - we can accommodate 11:00 AM - 7:30 PM if need be - Monday - Friday/No Weekend

Responsibilities: Conduct initial and ongoing assessment of each individual patient with respect to clinical condition, level of care, and plan of care
Review admission, pre-op orders for all components necessary for preadmission, admission process
Assist the physician offices in obtaining necessary assessments prior to surgery, procedures, and/or admission
Include patient and family in care facilitation and education activities
Assist in the development and implementation of critical pathways
Utilize computer support and physician advisor to determine potential outliers (length of stay and changes in condition) in continued hospital stay
Communicate the benefits and changes in the various benefit plans, both in the terms of health management and financial implications to physicians, and patients and families as appropriate
Assist in management of payor denials; issues hospital-initiated notices of non-coverage (HINN's)
Distinguish between the levels of care available and interact with the various benefit plans and their delivery systems to coordinate this care across the continuum
Define desired clinical outcomes, set target dates, and establish a plan for required services and care, addressing all needs (i.e., physical, psycho-social, financial)
Participate in IDT rounds
Conduct utilization review, evaluate clinical information, and communicate findings to physicians and payors on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual agreements
Submit clinical information to insurance companies to ensure all days are authorized and notifies director of continued stay denials
Apply decision support criteria (e.g. Interqual) appropriately
Maintain accurate, up-to-date documentation in MIDAS
Cross-trained to function in any of the assigned Case Manager areas
Promote close alignment with medical and ancillary staff to facilitate appropriate patient care delivery, including alternative level of care opportunities
Complete required documentation for transfer to next level of care
Coordinate with physician for optimal information related throughout the continuum
Assist with patient/family/significant other's learning needs, abilities and readiness to learn
Identify barriers to learning, such as language or culture
Integrate information into the patient's plan of care
Identify and document patient/family/SO's education needs in collaboration with other disciplines and implements an on-going education relevant to these needs
Document patient teaching on appropriate teaching tool for each teaching episode
Ensure patient/family/SO understand discharge instructions

Requirements: Graduate of an accredited school of nursing as an RN (BSN preferred)
Recent (within the last year) experience with Acute Care Case Manager experience (If candidates do not have case manager experience, they would consider someone that has 2-3 years of ICU experience or strong Med-Surg experience)
Case management experience in a LTAC facility
Good critical thinking skills; need to know and understand the medical needs for patients
Florida RN license and/or approved multistate RN license
Compact license holders have 60 days to obtain the Florida license after relocation
BLS-AHA Provider issued card required within 30 days of start
3 years of RN experience in an acute care setting

Desired skills: Certification in Case Management, Nursing or Utilization Review


Only candidates available and ready to work directly as Genesis10 employees will be considered for this position.

If you have the described qualifications and are interested in this exciting opportunity, please apply!

About Genesis10:
Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals.

For contract roles, Genesis10 offers the benefits listed below. If this is a perm-placement opportunity, our recruiter can talk you through the unique benefits offered for that particular client. Benefits of Working with Genesis10:
--- Access to hundreds of clients, most who have been working with Genesis10 for 5-20+ years.
--- The opportunity to have a career-home in Genesis10; many of our consultants have been working exclusively with Genesis10 for years.
--- Access to an experienced, caring recruiting team (more than 7 years of experience, on average.)
--- Behavioral Health Platform
--- Medical, Dental, Vision
--- Health Savings Account
--- Voluntary Hospital Indemnity (Critical Illness & Accident)
--- Voluntary Term Life Insurance
--- 401K
--- Sick Pay (for applicable states/municipalities)
--- Commuter Benefits (Dallas, NYC, SF and Illinois)

For multiple years running, Genesis10 has been recognized as a Top Staffing Firm in the U.S., as a Best Company for Work-Life Balance, as a Best Company for Career Growth, for Diversity, and for Leadership, amongst others. To learn more and to view all our available career opportunities, please visit us at our website.

Genesis10 is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

#INDGEN10

Keywords: Genesis10, Ocala , Case Manager RN, Executive , Gainesville, Florida