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Florida Blue
RN Case Manager
Florida
$71k–$116k/yr
Posted pay
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RNCase ManagementUtilization ReviewDisease ManagementHome Health
Posted Jul 29, 2026 · Last seen active Jul 29, 2026
About this role
This key position is responsible for assisting members within a geographical (local, statewide and/or other) area make effective health care choices for self-management of their acute and /or chronic condition(s). Utilizing a member-centric approach they assist members and their families understand and manage their disease process by: reinforcing the physicians' plan of treatment, promoting healthy behaviors and lifestyle changes, and providing education and tools to promote self-management to improve health outcomes and reduce overall costs. Individual care plans are developed in collaboration with the Physician, Member/Care Giver, Families and the Care Team. Ongoing coaching, monitoring and evaluation of care plans will be done face to face with the member, telephonically, digital engagement or electronically through email and member and provider portals.
Requirements
- 2+ years related work experience
- Related Bachelor's degree or additional related equivalent work experience
- Registered Nurse - State Licensure and/or Compact State Licensure
- Experience with influencing and motivating individuals to change health behaviors
- Knowledge and/or experience with population health
- Experience in two or more of the following: home health care, utilization review, discharge planning, disease/case management
- Experience working with Managed Care products, benefits and services
- Experience in planning, implementing coordinating and monitoring activities that focus on acute and non-acute services, outpatient services and/or community resources for all lines of business
Benefits
- Medical, dental, vision, life and global travel health insurance
- Income protection benefits: life insurance, short- and long-term disability programs
- Leave programs to support personal circumstances
- Retirement Savings Plan including employer match
- Paid time off, volunteer time off, 10 holidays and 2 well-being days
- Additional voluntary benefits available
- Comprehensive wellness program
- Opportunities for incentive or commission compensation
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