RN Case Manager

The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost‑effective outcomes.

• Candidate must reside in Miami‑Dade County and will service Miami‑Dade Co. and the Florida Keys, and be able to travel to facilities within the regions/neighboring counties.
• Hours required are Monday‑Friday 8 am‑5 pm EST with some flexibility for start/stop times.
• Local travel up to 75% of the time.
• Applies critical thinking, evidence‑based clinical criteria to support contractual rebalancing goals.
• Complete at least 10 NF member assessments weekly.
• Support the Health Plan Rebalancing Initiative goal of successful transitions: assess, identify, screen and transition NH members into the community.
• Follow up on CM referrals and visit current NH members in‑person at least twice a week to complete rebalancing events and screening assessments.
• Complete telephonic or in‑person contact to assess the home prior to discharge and identify any environmental supports needed to support transition (i.e., ramp, DME installation, etc.).
• Conduct an in‑person Significant Change Visit with member and Rep if applicable within 5 days of transition. Coordinate provision of services as needed, establish Plan of Care, and document all actions taken.
• Contact facility’s Business Office once a week to follow‑up on member census and coordinate with Social Services and CM to facilitate discharge.
• Work collaboratively with case managers to identify high‑risk community members and implement appropriate interventions to prevent lapse or coordinate safe transition (upon receiving referral).
• Drive enhanced value of health care to increase member satisfaction and retention, and drive new membership growth.
• Be involved in at least two community relations events per year.
• Engage in building strong relationships that contribute towards member satisfaction and retention.

• Registered Nurse with an unrestricted Florida active license.
• Experience with case management.
• Candidate must reside in Florida and be within the area of coverage.
• Minimum 2 years of clinical experience.
• Bi‑lingual Spanish/English required.
• Willing and able to travel up to 75% of the time to meet members face‑to‑face and surrounding counties/areas.
• Registered Nurse with an active state license in good standing within the region where job duties are performed.
• Certified Case Manager is preferred.

Equal Opportunity

Employer:

Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact .

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including medical, prescription, dental, vision, AD&D, and life insurance offerings, short‑term disability, and a 401(k) plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.