Top 54 Rn case manager Jobs in Bradenton Fl

MDS Coordinator and Case Manager
Pines of Sarasota —Sarasota, FL
- $38 - $41 an hour
- Full-time
- Background check
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
4d
RN Care Manager - FGC Market
ArchWell Health —Bradenton, FL
- Full-time
- Nursing
- RN License
- Mid-level
8d
Director of Case Management
Texas Nursing Services —Bradenton, FL
- $109,762 - $164,570 a year
- Full-time
- Acute care
- Nursing
- RN License
- Relocation assistance
- Health insurance
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Case Manager (RN)/Social Worker Full-Time Days MMH
Manatee Memorial Hospital —Bradenton, FL
- Full-time
- Nursing
- Hospital
- Mid-level
- Health insurance
- Dental insurance
Clinical Case Manager I
Sarasota Memorial Health Care System —Sarasota, FL
- Full-time
- Background check
- Nursing
- RN License
Case Manager Full Time
Bradenton Rehabilitation Hospital —Bradenton, FL
- Full-time
- RN License
- Experience working with individuals with disabilities
- Hospital
- Health insurance
- Dental insurance
3d
Care Manager
Bluestone Physician Services —Sarasota Springs, FL
- $68,500 - $80,000 a year
- Full-time
- RN License
- Word processing
- Computer literacy
- Mileage reimbursement
- Health savings account
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RN Case Manager - Facilities Team North
Empath Health —Bradenton, FL
- Monday to Friday
- CPR Certification
- Nursing
- RN License
- Continuing education credits
- Health insurance
RN Case Manager - Ellenton - Home Team
Empath Health —Palmetto, FL
- Monday to Friday
- Nursing
- RN License
- Mid-level
- Continuing education credits
- Health insurance
11d
Registered Nurse Case Manager Full-Time Days MMH
Manatee Memorial Hospital —Bradenton, FL
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
1d
Case Manager PRN
Bradenton Rehabilitation Hospital —Bradenton, FL
- PRN
- RN License
- Experience working with individuals with disabilities
- Hospital
- Health insurance
- Dental insurance
3d
Manager, Intensive Community Complex Care (RN)
Chen Medical Associates —Saint Petersburg, FL
- $91,165 - $130,235 a year
- Full-time
- Mid-level
- Opportunities for advancement
Hospital Care Coordinator - RN Case Management
BayCare —Saint Petersburg, FL
- Part-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Case Manager RN
HCA Florida Blake Hospital —Bradenton, FL
- Full-time
- Mid-level
- 2 years
- Employee stock purchase plan
- Disability insurance
Quick Apply
9d
CM Delegation Liaison (Case Manager Education Liaison)
Molina Healthcare —Saint Petersburg, FL
- $54,922 - $107,099 a year
- Full-time
- RN License
- Mid-level
- 3 years
- Health insurance
RN Case Manager - Central Facilities Team
Empath Health —Sarasota, FL
- CPR Certification
- Nursing
- RN License
- Continuing education credits
- Health insurance
3d
Case Manager RN
HCA Florida Sarasota Doctors Hospital —Sarasota, FL
- Full-time
- Mid-level
- 2 years
- Employee stock purchase plan
- Disability insurance
Quick Apply
1d
Nurse Case Manager
Evara Health —Pinellas Park, FL
- Full-time
- Background check
- Nursing
- Management
- Paid holidays
- Paid time off
Quick Apply
Registered Nurse - Clinical Care Coordinator III - FPG GI
First Physicians Group - Sarasota Memorial Health Care System —Sarasota, FL
- Full-time
- Background check
- CPR Certification
- Nursing
Registered Nurse - Case Manager - 5278
Vantage Search Group —Tampa, FL
- $69,680 - $83,200 a year
- Full-time
- Background check
- Nursing
- Management
- Health savings account
- Paid holidays
Quick Apply
4d

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rn case manager jobs near bradenton fl

MDS Coordinator and Case Manager

Pines of Sarasota -
Sarasota, FL

Quick Apply

Job Details

Full-time
$38 - $41 an hour
4 days ago

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Childcare

Qualifications

Medicare
RAC-CT
Medicaid health insurance
Medicare regulations
Medicaid regulations
Medicaid

Full Job Description

Pines of Sarasota is currently seeking candidates to join us in the role of MDS Coordinator and Case Manager

The MDS Coordinator and Case Manager is primarily responsible for leading and coordinating managed care processes for residents receiving skilled services in a long-term care/skilled nursing facility. This role focuses on insurance authorizations, continued-stay and concurrent reviews, payer communication, clinical update submission, coverage tracking, Notices of Medicare Non-Coverage (NOMNCs), appeal coordination, and timely follow-up on payer determinations. The Coordinator serves as a central liaison among managed care payers, residents and responsible parties, nursing, therapy, social services, and other members of the interdisciplinary team to support accurate communication, timely reviews, appropriate coverage decisions, and a smooth transition through the skilled stay.

Duties and Responsibilities:

Complete assigned OBRA, PPS, Medicare Advantage, PDPM, and other required MDS assessments.
Monitor assessment schedules to ensure timely completion, coding, transmission, and acceptance of MDS assessments.
Review clinical documentation, ICD-10 diagnoses, and skilled services to support accurate coding and reimbursement.
Assist with MDS, Quality Measures, Five-Star, CASPER, IQIES, and reimbursement audits.
Manage insurance authorizations, continued-stay reviews, coverage determinations, and required clinical documentation.
Track payer communications, authorizations, review dates, and follow-up actions.
Issue Notices of Medicare Non-Coverage (NOMNCs), coordinate appeals, and communicate coverage updates to residents and responsible parties.
Collaborate with the interdisciplinary team on discharge planning, insurance issues, and reimbursement-related concerns.
Escalate urgent authorization, denial, appeal, or discharge planning issues in accordance with facility policy.

The ideal MDS Coordinator and Case Manager candidate will meet the following requirements:

Current, active LPN or RN license in the state of Florida.
Knowledge of managed care, Medicare Advantage, commercial insurance authorization, continued-stay/concurrent review, NOMNC, and appeal processes is highly recommended.
Nursing experience in long-term care, skilled nursing, rehabilitation, or post-acute care preferred; a minimum of five years of relevant nursing experience is preferred.
Knowledge of MDS 3.0, RAI Manual requirements, PDPM, Medicare, Medicaid, and care planning.
Completion of RAC-CT required at time of employment or within eight months of starting the position.

At Pines of Sarasota, we value our employees and their well-being. As the MDS Coordinator and Case Manager, you can enjoy a range of benefits, including:

Swift Access to Pay
Comprehensive Health, Dental, and Vision Coverage
401(k) Plan
Reduced Onsite Childcare Costs
$5,000 Sign-On Bonus
And More...

Ready to join our caring and dedicated team? We make the application process easy! Simply text (941) 376-4254 with the position you are interested in, and we'll set up an interview.

Pines of Sarasota is an Equal Opportunity Employer.

Employment eligibility is subject to a drug screen and a level two background screening.

Background screenings are required for individuals working in AHCA-licensed facilities and Medicaid Provider Enrollment to ensure the safety and well-being of the population we serve. For more information, visit https://info.flclearinghouse.com.

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Refine Your Search

rn case manager jobs in bradenton fl

MDS Coordinator and Case Manager

RN Care Manager - FGC Market

Director of Case Management

Case Manager (RN)/Social Worker Full-Time Days MMH

Clinical Case Manager I

Case Manager Full Time

Care Manager

RN Case Manager - Facilities Team North

RN Case Manager - Ellenton - Home Team

Registered Nurse Case Manager Full-Time Days MMH

Case Manager PRN

Manager, Intensive Community Complex Care (RN)

Hospital Care Coordinator - RN Case Management

Case Manager RN

CM Delegation Liaison (Case Manager Education Liaison)

RN Case Manager - Central Facilities Team

Case Manager RN

Nurse Case Manager

Registered Nurse - Clinical Care Coordinator III - FPG GI

Registered Nurse - Case Manager - 5278

I want to receive the latest job alert for rn case manager in bradenton fl

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