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RN Care Manager, Acute

Job in Lakeland, Polk County, Florida, 33809, USA
Listing for: Orlando Health
Full Time position
Listed on 2026-02-18
Job specializations:
  • Nursing
    Clinical Nurse Specialist, RN Nurse, Nurse Practitioner, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below

Position Summary

Opening Summer 2026 at 4000 Lakeland Highlands Road, Lakeland, FL.

The Orlando Health System of Care includes award‑winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida’s east to west coasts, Central Alabama and Puerto Rico. Collectively, our dedicated team members honor our over 100‑year legacy by providing professional and compassionate care to the patients, families and communities we serve. Join us!

Combining the collective strengths of two powerhouse organizations, Orlando Health and the high‑quality physicians at Watson Clinic are expanding access to award‑winning specialty care for patients in Polk County and beyond.

Orlando Health Watson Clinic Lakeland Highlands Hospital – a state‑of‑the‑art, seven‑story, multi‑specialty hospital – will serve as a vital 550,000 square‑foot healthcare hub offering:

  • 300+ inpatient beds and 69 emergency and observation beds
  • 11 operating rooms and four cardiac interventional suites
  • Dedicated labor and delivery services – including a neonatal intensive care unit (NICU) that will debut shortly after the hospital opens
  • Comprehensive cardiovascular, neurology, and oncology services
  • Advanced surgical procedures

Join us in shaping the future of healthcare in Polk County as part of the opening team and share in the privilege of saying you were there from the very beginning.

Benefits Beyond the Expected

Orlando Health is committed to providing you with benefits that go beyond the expected, with career‑growing FREE education programs and well‑being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions.
Orlando Health Is Your Best Place to Work is not just something we say, it’s our promise to you.

  • Benefits that begin on Day 1
  • Four (4) weeks paid parental leave
  • Debt‑free degrees through our Preferred Education Program
  • Tuition reimbursement and loan repayment programs
  • Back‑up childcare and elder care
  • Fertility benefits and adoption assistance
  • NCLEX reimbursement
  • Free NCPDs for RN license
  • Free Kaplan review courses
  • Dedicated RN career counselor and GN Coordinators to develop you
  • Specialty certifications reimbursement
  • And more!

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.

Responsibilities

Essential Functions

  • Initially and concurrently assesses all patients within assigned population to include, but not limited to:
    • Accurate medical necessity screening and submission for Physician Advisor review
    • Care coordination that includes admitting diagnosis/ medical history, current treatments, age, payment source, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/ personal needs, and other relevant information.
    • Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning as appropriate through assessment and reassessment and the application of Inter Qual guidelines.
  • Leading and facilitating multi‑disciplinary patient care conferences
  • Managing concurrent disputes
  • Making appropriate referrals to other departments
  • Identifying and referring complex patients to Social Work Services
  • Communicating with patients and families about the plan of care
  • Leading and facilitating Complex Case Review
  • Identification and documentation of potentially avoidable days
  • Identification and reporting over and under utilization
  • Ensures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval.
  • Adheres to Utilization Management Plan.
  • Integrates National standards for care management scope of services…
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