RN Care Manager - Acute Case Management - Days - Bayfront Hospital
About this role
Position Summary
Position Overview:
Title: RN Care Manager, Acute
Department: Case Management
Site: Bayfront Hospital
Location: St. Petersburg, FL
Shift: Day, Full-Time Schedule: 8am-4:30pm Mon-Fri with weekend rotations (up to 1-2 weekends per month) and holiday rotation Job Description: An RN Case Manager (RNCM) is a registered nurse responsible for coordinating patient care across the continuum, ensuring safe, efficient, and appropriate utilization of healthcare resources while maintaining a strong focus on quality outcomes.The RNCM promotes and facilitates effective management of hospital resources from admission to discharge, collaborating with the assigned clinical team to identify patients most likely to benefit from care coordination services to include assessing patients’ risk factors and the need for care coordination, clinical utilization management and the transition to the next appropriate level of care. Core Responsibilities:
Care Coordination
• Assess patients upon admission for discharge planning needs • Develop and implement individualized care transition plans • Collaborate with physicians, nurses, social workers, therapists, and ancillary services • Ensure smooth transitions to post-acute care (SNF, rehab, home health, hospice) • Prevent avoidable delays in care or discharge • Monitor length of stay (LOS) and address barriers early • Participate in payer communication and authorization processes
Discharge Planning
• Identify social, financial, and clinical barriers • Coordinate with families and caregivers • Arrange services such as DME, home health, transportation, or community resources • Ensure safe and timely discharge to the appropriate level of care
Patient & Family Advocacy
• Educate patients and families about care plans and options • Promote informed decision-making • Address Social Determinants of Health (SDOH) impacting recovery
Compliance & Documentation
• Maintain accurate documentation supporting medical necessity • Ensure regulatory and accreditation standards are met • Participate in quality improvement initiatives
Education/Training:
• Graduate of an approved school of nursing.