RN Case Manager, Home Health

Job Description & Requirements

RN Case Manager, Home Health

Start Date:

8/31/2026 Pay Rate: $1800.00 - $2700.00

RN Case Manager, Home Health Review

The RN Case Manager (Home Health Review) plays a crucial role in monitoring post-acute patients to ensure they continue to meet the CMS criteria for services. As a key member of the patient’s care team, the RN Navigator acts as a patient advocate, providing proactive outreach to post-acute facilities to review patient needs. The Nurse makes recommendations to primary care providers regarding ongoing services and facilitates communication and coordination of care with clinic providers.

Stays updated on current CMS and other payer guidelines for post-acute Home Health services to ensure compliance. Receives and evaluates post-acute Home Health 485 forms (Plan of Care) based on Medical Necessity guidelines and Homebound Status requirements. Facilitates Case Conferences with post-acute agencies to evaluate patient progress toward goals and discharge plans. Ensures post-acute agencies address the problem list and provide appropriate follow‑up for patient needs.

This role does not involve direct patient care or patient contact. Instead, the nurse works collaboratively with home health agencies to review Plans of Care, ensure recertifications are appropriate, support compliance with Medicare guidelines, and help ensure patients are receiving the right level of care.

EPIC experience required

Must be licensed in Texas (RN)

Must have knowledge of Medicare (Parts A &

B)

Must have at least 2 years Home Health experience

12 Weeks

Days, M-F 8am-5pm

EPIC

8/31/2026

Positioned on the southern tip of sunny Florida, this beach town is one of the Sunshine State’s crown jewels. You’ll find unique Spanish and Mediterranean architecture throughout the city as well as swanky boutiques and chic cafés. From the revitalized shopping area of Minzer Park to the sparkling blue waters that border the city, Boca Raton is a place that many people would long to call home.

• Medical, dental and vision benefits
• Earned time off and paid holidays
• Paid continuing education time
• 401(K) retirement planning
• Short-term disability, life insurance, paid jury duty
• Access to the largest network of facilities and providers in the country
• Industry experienced workforce management team
• Licensure and certification reimbursement

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.