Nurse Case Manager II

Job Title: Nurse Case Manager II
Location: Orange, FL - 32301
Duration: 6 Months + (Possible Extension)

Candidate Location:
City, State, Zip Code, County – Central Florida (Orange, Osceola, Brevard, or Seminole Counties)
 
Position: Case Management Coordinator – Bilingual (Spanish/English)
 
Schedule:

• Monday – Friday, 8:00 AM – 5:00 PM (Standard Business Hours)
• Candidate must adhere to schedule
• Travel approximately 85% of the time within Orange, Osceola, Brevard, or Seminole counties to visit members at homes, Assisted Living Facilities, and Skilled Nursing Facilities

 
Position Summary:
Seeking a self-motivated, energetic, detail-oriented, highly organized, tech-savvy Case Management Coordinator to join the Case Management team. This role promotes autonomy and flexibility while coordinating care for members. The coordinator is responsible for telephonic and face-to-face assessment, planning, implementation, and coordination of case management activities to evaluate medical needs and facilitate overall wellness.
 
Requirements:

• Must reside in Central Florida (Orange, Osceola, Brevard, or Seminole Counties)
• Bilingual (Spanish/English) – fluent in speaking and writing
• Ability to multitask, prioritize, and adapt effectively in a fast-paced environment
• Effective communication skills, verbal and written
• RN with current unrestricted Florida licensure or valid COMPACT license
• Case Management Certification (CCM) preferred
• Candidates must not be nurses for non-nursing roles (unless RN licensure required)
• Safety-sensitive (field and telephonic)
• Eligible to submit mileage

 
Duties:

• Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program enrollees
• Conduct comprehensive evaluation of members using care management tools and data review
• Collaborate and facilitate case management process to ensure appropriate healthcare outcomes
• Implement assigned care plan activities and monitor progress
• Conduct multidisciplinary reviews to achieve optimal outcomes
• Identify and escalate quality-of-care issues through established channels
• Utilize negotiation, motivational interviewing, and coaching skills to engage members
• Educate members on healthcare options, medications, and community resources
• Monitor, evaluate, and document care in compliance with regulatory and accreditation guidelines and company policies
• Promote member engagement in healthcare decision-making and healthy lifestyle choices

 
Experience:

• Minimum 3 years clinical practice experience (hospital, home health, ambulatory care)
• Healthcare and/or managed care industry experience
• Case management experience preferred
• Proficiency with computer systems and keyboarding

 
Education:

• RN with current unrestricted Florida license or valid COMPACT license
• Case Management Certification (CCM) preferred

 
Key Attributes:

• Ability to manage multiple responsibilities in a fast-paced environment
• Strong organizational, communication, and interpersonal skills
• Detail-oriented, tech-savvy, self-motivated, and professional