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Rn Complex Case Manager Jobs in Florida (NOW HIRING)

GiaCare

Registered Nurse - Case Manager

Tampa, FL · On-site

About The Opportunity Join a collaborative care team as a Case Manager RN, coordinating care transitions and complex-case management for active-duty service members, retirees, and their families ...

Giacare Inc

Registered Nurse - Case Manager

Tampa, FL · On-site

About the Opportunity Join a collaborative care team as a Case Manager RN, coordinating care transitions and complex-case management for active-duty service members, retirees, and their families ...

NCH

RN Case Manager Lead

Naples, FL · On-site

The RN Case Manager Lead will act as a resource for the RN Case Managers while ensuring the ... complex case review. • Promotes and fosters a collaborative, supportive and efficient team ...

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All JobsRn Complex Case JobsRn Complex Case Manager JobsRn Complex Case Manager Jobs in Florida

Rn Complex Case Manager information

What is the difference between Rn Complex Case Manager vs Rn Care Coordinator?

AspectRn Complex Case ManagerRn Care Coordinator
CertificationsRN license, case management certification often preferredRN license, case management certification often preferred
Work EnvironmentHealthcare facilities, insurance companies, community healthHospitals, clinics, outpatient settings
Primary FocusManaging complex patient cases, coordinating care plansCoordinating patient care, scheduling, patient education

The main difference is that Rn Complex Case Managers focus on managing complex cases with multiple health issues, requiring advanced care planning and coordination. Rn Care Coordinators primarily handle patient scheduling and basic care coordination. Both roles require RN licensure and often similar certifications, but their responsibilities and work environments differ slightly.

Are RN complex case managers in demand?

RN complex case managers are in high demand due to the growing need for coordinated patient care, especially for individuals with chronic or complex health conditions. They often work in healthcare settings such as hospitals, insurance companies, and community health organizations, requiring strong clinical skills and case management certifications. The role is expected to grow as healthcare systems focus on cost-effective, patient-centered care.

What is an RN complex case manager?

An RN Complex Case Manager is a registered nurse who specializes in coordinating care for patients with complex medical needs. They assess, plan, and facilitate care by working with interdisciplinary teams, patients, and families to ensure optimal health outcomes. Their role often involves managing chronic conditions, coordinating resources, and advocating for patients throughout the healthcare continuum. They help reduce hospital readmissions and improve quality of life by providing personalized support and education.

How does an RN complex case manager typically collaborate with interdisciplinary teams to support patient outcomes?

As an RN Complex Case Manager, you work closely with a variety of professionals, including physicians, social workers, pharmacists, and therapists, to develop and coordinate comprehensive care plans for patients with complex medical needs. Regular interdisciplinary meetings are common, where you discuss patient progress, identify barriers to care, and adjust plans as needed. Effective communication and documentation are essential, as you often serve as the main point of contact between the patient, their family, and the healthcare team. This collaborative approach helps ensure that all aspects of the patient's care are addressed and optimized for the best possible outcomes.

Is being a registered nurse complex case manager worth it?

Being a registered nurse complex case manager can be a rewarding career with competitive salaries and opportunities for specialization. The role involves coordinating patient care, managing cases with complex medical needs, and often requires strong communication and organizational skills. Job satisfaction and advancement potential depend on experience, certifications, and work environment.

What are the key skills and qualifications needed to thrive as an RN complex case manager, and why are they important?

To thrive as an RN Complex Case Manager, you need a valid RN license, strong clinical assessment skills, and experience in case management or care coordination. Familiarity with case management software, electronic health records (EHRs), and relevant certifications like CCM (Certified Case Manager) are often required. Excellent communication, problem-solving abilities, and empathy are crucial for building relationships with patients and collaborating with multidisciplinary teams. These skills ensure effective care planning, improved patient outcomes, and efficient resource utilization for individuals with complex health needs.
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Rn Complex Case Manager jobs near you
Infographic showing various Rn Complex Case Manager job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 13% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

Complex Case Manager

Family Physicians Group

Orlando, FL • On-site

Full-time

Re-posted 17 days ago

Job description

The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time" to improve clinical outcomes and lower costs. Utilizing an evidence-based approach the Complex Case Manager will optimize care to determine what is medically necessary, while eliminating excessive treatment and expense. The Complex Case Manager will act as mentor and coach to assigned Complex Care Coordinators within the department.

Requirements:

• Utilization knowledge on Part A, Part B and part D Medicare.

• Medicare Advantage experience required

• Knowledges of HEDIS

• Case Management experience

• Knowledge of the evidence based guidelines for the main chronic conditions-HTN, CAD, Heart Failure, Diabetes, CKD and COPD.

• Ability to understand CMS guidelines.

• Understanding of the basic principles for OSHA, CLIA, HIPAA and AHCA.

Duties and responsibilities:

 • Works in collaboration and continuous partnership with chronically ill or "high-risk" patients and their family/caregiver(s) in a team approach to:

• Reduce emergency room utilization and hospital readmissions

• Promote timely access to appropriate care

• Increase utilization of preventative care

• Increase comprehension through culturally and linguistically appropriate education

• Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)

• Increase patients’ ability for self-management and shared decision-making• Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs

Knowledge, Skills, and Abilities:

 • Knowledge of Electronic Medical Records.

• Ability to read, comprehend, and interpret medical coding and medical documents.

• Ability to be collaborative and effectively communicate with patient.

• Ability to have strong sense of urgency and use judgment to respond to emergencies.

• Ability to solve practical problems and deal with a variety of situations.

• Ability to write simple correspondence

• Ability to effectively present information in one-one and small group situations to clients and other employees of the organization.

• Prefer bi-lingual in English and Spanish.

Education and Experience:

 • Current State of Florida Registered Nurse

• Case Management experience required

• CCM preferred

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand and/or sit for extended period of time. The employee is occasionally required to sit. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

FLSA Status:

Non- Exempt

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