Home Health RN Case Manager

Clinical Case Manager – Home Health (RN)

Position Overview

We are seeking an experienced Clinical Case Manager (RN) to join our Home Health office team. This in-office position is responsible for overseeing clinical case management, reviewing OASIS documentation, ensuring regulatory compliance, coordinating patient care, and supporting the delivery of high-quality home health services. The ideal candidate is highly organized, detail-oriented, and experienced in Medicare‑certified home health operations.

• Competitive Salary (Based on Experience, $85,000 per year)
• Health Insurance
• Dental Insurance
• Vision Insurance
• Paid Time Off
• Paid Holidays
• 401(k)
• Additional Benefits Available

• Full‑Time
• Monday – Friday
• Office‑Based Position

• Active, unrestricted Registered Nurse (RN) license in the State of Florida
• Minimum of 3 years of Home Health experience
• Strong knowledge and experience with OASIS
• Working knowledge of Medicare Home Health Guidelines
• Experience obtaining and managing authorizations
• Proficient in Microsoft Office (Word, Excel, Outlook, and PowerPoint)
• Strong computer and documentation skills
• Excellent communication, organizational, and time management abilities

• Previous experience in Clinical Case Management
• Experience working in a Medicare‑certified Home Health Agency
• Knowledge of physician order management and clinical documentation compliance
• Experience coordinating interdisciplinary patient care
• Familiarity with EMR systems used in Home Health

• Review RN OASIS assessments for completeness, accuracy, and compliance
• Manage patient cases from admission through discharge
• Assist with developing and reviewing patient service plans
• Coordinate care among physicians, clinicians, and interdisciplinary team members
• Ensure patient visits are scheduled and assigned appropriately
• Monitor patient progress and follow up on ongoing cases
  
  Ensure timely initiation of care for all patients
• Review clinical records to ensure services are provided according to the Plan of Care (POC)
• Track and obtain signed physician orders
• Communicate with physicians and insurance providers regarding changes in patient condition and updated orders
• Conduct and document interdisciplinary case conferences
• Verify clinical documentation for billing and reimbursement
• Ensure complete and accurate patient records in accordance with Medicare regulations
• Build and maintain strong working relationships with clinical and administrative staff
• Support quality assurance initiatives and regulatory compliance throughout the case management process