TalentBurst, Inc is seeking a local contract nurse RN Case Management for a local contract nursing job in Gainesville, Florida.

Job Description & Requirements

• Specialty: Case Management
• Discipline: RN
• Start Date: 04/07/2025
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours
• Employment Type: Local Contract

Title: Case Management
Location: Gainesville, FL 32614

Shift Differentials: Evenings - $2/hour ; Weekends - $2/hour
Sign on: $15k

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 Weekends

Job Summary and Qualifications:
We are seeking a dynamic Case Management RN to join our team. The RN Case Manager facilitates the interdisciplinary plan of care with a focus on evaluating the appropriateness of medical necessity, admission status, level of care, and discharge planning. Coordinates activities that promote quality outcomes and patient throughput. Identifies potential barriers to patient throughput and quality outcomes and facilitates appropriate discharge plans

What You Will Do In This Role:

• Conducts initial and ongoing assessment of each individual patient with respect to clinical condition, level of care, and plan of care.
• Reviews 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.
• Includes patient and family in care facilitation and education activities.
• Assist in the development and implementation of critical pathways.
• Utilizes computer support and physician advisor to determine potential outliers (length of stay and changes in condition) in continued hospital stay.
• Communicates 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.
• Assists in management of payor denials; issues hospital-initiated notices of non-coverage (HINN's)
• Distinguishes between the levels of care available and interacts with the various benefit plans and their delivery systems to coordinate this care across the continuum.
• Defines desired clinical outcomes, sets target dates, and establishes a plan for required services and care, addressing all needs (i.e., physical, psycho-social, financial).
• Participates in IDT rounds,
• Conducts utilization review, evaluates clinical information, and communicates findings to physicians and payors on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual agreements.
• Submits clinical information to insurance companies to ensure all days are authorized and notifies director of continued stay denials.
• Applies decision support criteria (e.g. Interqual) appropriately.
• Maintains accurate, up-to-date documentation in MIDAS.
• Is cross-trained to function in any of the assigned Case Manager areas.
• Promotes close alignment with medical and ancillary staff to facilitate appropriate patient care delivery, including alternative level of care opportunities.
• Completes required documentation for transfer to next level of care. Coordinates with physician for optimal information related throughout the continuum.
• Assists with patient/family/significant other's learning needs, abilities and readiness to learn. Identifies barriers to learning, such as language or culture. Integrates this information into the patient's plan of care.
• Identifies and documents patient/family/SO's education needs in collaboration with other disciplines and implements an on-going education relevant to these needs.
• Documents patient teaching on appropriate teaching tool for each teaching episode.
• Ensures patient/family/SO understand discharge instructions.

• Looking for Recent (within the last year) experienced 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).
• Would also consider someone that has case management experience in a LTAC facility.
• Must have good critical thinking skills. They need to know and understand the medical needs for patients.
• Certification in Case Management, Nursing or Utilization Review is preferred.
• Florida RN license and/or approved multistate RN license required. Compact license holders have 60 days to obtain the Florida license after relocation.
• BLS-AHA Provider issued card required within 30 days of start3 years of RN experience in an acute care setting is required.
• Graduate of an accredited school of nursing as an RN. BSN preferred.

• Who does this position report to?
• Position currently reports to the Divisional Director of Case Management
• What are the qualities that you like and dislike in candidates that you have seen so far?
• Candidates must understand that this is not an easy role. They are constantly on the go and helping patients with care coordination and progressing them through the continuum of care.
• Must be good with communication, good with multitasking, and has the ability to pivot and adapt when necessary.
• Candidates who want to get into Case Management because they think it's a role where they can kick their feet up and relax in an office will not survive in the role. It is hard work!

• Julian will have an initial phone screen with candidate to discuss role, pay, benefits, etc.
• Candidate will be scheduled for initial 30-minute virtual interview with Divisional Director of Case Management.
• If all goes well, they will interview onsite and have a peer interview as well. Shadow to follow either same day or candidate may have to return on another day for shadow and officer interview.

Talent Burst Job ID #25-26066. Posted job title: Case Manager RN

About TalentBurst, Inc