Case Manager- RN

Required Skills & Experience

• Active Florida Registered Nurse (RN) license
• Bachelor’s degree in Nursing or related healthcare field
• 3+ years of nursing experience with exposure to skilled nursing, nursing homes, post-acute care, or home health
• Strong understanding of skilled nursing facility operations and the post-discharge care continuum
• Strong clinical assessment skills with experience identifying patient risks and preventing avoidable hospital readmissions
• Experience managing or following patients through a defined post-discharge period
• Strong relationship-building skills with providers, facility leadership, and multidisciplinary clinical teams
• Intermediate to advanced Excel and PowerPoint skills with the ability to interpret data and present findings

Nice to Have Skills & Experience

• Home health experience
• Previous nursing leadership experience, ideally as an RN Supervisor, Nurse Manager, Unit Manager, ADON, Clinical Manager, or similar role
• Population health or value-based care experience
• Care transitions/readmission reduction experience
• Epic Healthy Planet experience
• Experience presenting clinical or operational performance data to providers
• Familiarity with CMS value-based care programs and guideline

Job Description

This RN will support patients transitioning into skilled nursing and other post-acute care settings, following their progress for approximately 30 to 90 days after discharge. They will conduct clinical assessments, monitor patient progress, and proactively identify risks or gaps in care that could contribute to avoidable hospital readmissions. The RN will build relationships with skilled nursing facilities, providers, and multidisciplinary care teams to improve continuity of care across the patient's journey. They will also review clinical and program data to identify trends, opportunities, and areas for improved patient outcomes. The individual will participate in quarterly provider meetings and create PowerPoint presentations to communicate performance data and recommendations. This position requires someone who can combine strong clinical judgment, SNF knowledge, data literacy, and a polished provider-facing presence.