RN Care Manager - Acute Case Management - Days - Bayfront Hospital - St Petersburg

RN Care Manager, Acute

Title: RN Care Manager, Acute

Department: Case Management

Site: Bayfront Hospital

Location: St. Petersburg, FL

Shift: Day, Full-Time Schedule: 8am-4:30pm Mon-Fri with weekend rotations (up to 1-2 weekends per month) and holiday rotation

About Orlando Health Bayfront Hospital: Orlando Health Bayfront Hospital is a comprehensive tertiary care facility that has been serving St. Petersburg and the surrounding communities for more than 100 years. It is a 480-bed teaching medical center with nationally recognized care across emergency medicine, cardiology, neurosurgery, orthopedics, women's services, and advanced surgical specialties. The hospital's Level II Trauma Center is the only adult trauma center in Pinellas County and, in partnership with Johns Hopkins All Children's Hospital, is one of Florida's 13 state-certified Level III Regional Perinatal Intensive Care Centers. A commitment to quality has earned the hospital recognition with a USA Today Top Workplaces award for 2025 and an "A" Hospital Safety Grade from The Leapfrog Group. Orlando Health Bayfront Hospital is part of the Orlando Health system of care, which 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. As part of the Orlando Health system, Bayfront combines the resources of a leading regional healthcare network with the personalized, community-focused care that has defined the hospital for generations.

Job Description: An RN Case Manager (RNCM) is a registered nurse responsible for coordinating patient care across the continuum, ensuring safe, efficient, and appropriate utilization of healthcare resources while maintaining a strong focus on quality outcomes. The RNCM 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.

Core Responsibilities:

• Care Coordination
• Discharge Planning
• Patient & Family Advocacy
• Compliance & Documentation

Responsibilities Essential Functions:

• Initially and concurrently assesses all patients within assigned population
• Manages concurrent disputes
• Makes appropriate referrals to other departments
• Identifies and refers complex patients to Social Work Services
• Communicates with patients and families about the plan of care
• Prioritizes activities in assigned areas
• Develops collaborative relationships with patient business, nursing, physicians, and patient/family
• Monitors and evaluates data, fiscal outcomes, and other relevant information
• Maintains positive relationships with outside/onsite reviewers and other payer representatives
• Involves patient's family in the development of the treatment plan
• Reviews patient's discharge plan at multidisciplinary meetings
• Maintains compliance with all regulatory standards
• Maintains records and documentation of work performed
• Actively serves on committees and task forces
• Possesses excellent interpersonal skills and ability to work in a team environment
• Respects the rights and privacy of others
• Maintains compliance with all Orlando Health policies and procedures

Qualifications:

• Education/Training: Graduate of an approved school of nursing
• Licensure/Certification: Must hold and maintain a current Florida RN license
• Experience: Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care