RN Clinical Case Manager – Medicaid Long Term Care

A-Line Staffing is now hiring a RN Clinical Case Manager – Medicaid Long Term Care. This will be full time.

RN Clinical Case Manager – Medicaid Long Term Care

• Location: Candidates must reside in one of the following Florida counties: Orange, Osceola, Brevard, or Seminole
• Schedule: Monday–Friday | 8:00 AM – 5:00 PM EST (flexibility with start/end times)
• Travel: Local travel up to 75% to member homes or nursing facilities
• Pay Rate : $40.00 an hour paid weekly + mileage reimbursement
• Benefits: active after 90 days of employment

Key Responsibilities

• Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program members
• Conduct comprehensive member assessments using care management tools and clinical data
• Develop, implement, and monitor individualized care plans
• Collaborate with PCPs, specialists, community agencies, and interdisciplinary teams
• Coordinate services including: Prior authorizations, Medication reviews, Condition management support, Community resources and referrals
• Identify and escalate quality of care concerns through established processes
• Support members through education, coaching, motivational interviewing, and advocacy
• Promote member engagement and healthy lifestyle changes
• Document all case management activities in compliance with regulatory and accreditation guidelines
• Maintain productivity and quality standards in a remote/field-based environment

Required Qualifications

• Active, unrestricted RN license in Florida
• Case Management experience required
• CCM (Certified Case Manager) certification preferred
• Experience with Medicaid Long Term Care populations

INDKS

A-Line Staffing is now hiring a RN Clinical Case Manager – Medicaid Long Term Care. This will be full time.

RN Clinical Case Manager – Medicaid Long Term Care

• Location: Candidates must reside in one of the following Florida counties: Orange, Osceola, Brevard, or Seminole
• Schedule: Monday–Friday | 8:00 AM – 5:00 PM EST (flexibility with start/end times)
• Travel: Local travel up to 75% to member homes or nursing facilities
• Pay Rate: $40.00 an hour paid weekly + mileage reimbursement
• Benefits: active after 90 days of employment

Key Responsibilities

• Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program members
• Conduct comprehensive member assessments using care management tools and clinical data
• Develop, implement, and monitor individualized care plans
• Collaborate with PCPs, specialists, community agencies, and interdisciplinary teams
• Coordinate services including: Prior authorizations, Medication reviews, Condition management support, Community resources and referrals
• Identify and escalate quality of care concerns through established processes
• Support members through education, coaching, motivational interviewing, and advocacy
• Promote member engagement and healthy lifestyle changes
• Document all case management activities in compliance with regulatory and accreditation guidelines
• Maintain productivity and quality standards in a remote/field-based environment

Required Qualifications

• Active, unrestricted RN license in Florida
• Case Management experience required
• CCM (Certified Case Manager) certification preferred
• Experience with Medicaid Long Term Care populations

INDKS