RN Care Manager at Medical Specialists of the Palm Beaches, Inc. – Boynton Beach, Florida

Position Title: RN Care Manager

Posted: Posted Yesterday

Location 1: MSPB Corporate Office

Location 3: Boynton Beach, Florida 33437

Time Type: Full time

Description:

Located In:

Boynton Beach, Florida 33437The Care Manager, RN (CM-RN) will serve as an integral member of a multidisciplinary healthcare team in a primary care setting. This role focuses on patient coaching, care coordination, and navigation for individuals with complex medical needs. The CM-RN will support the practice in developing and implementing processes for managing high-risk populations, promoting patient-centered care, and partnering with providers to achieve optimal outcomes. The CM-RN will play a key role in advancing the practice’s value-based care and alternative payment model (VBC/APM) initiatives.

Key Responsibilities:

• Build and maintain constructive relationships with hospital admission offices, case managers, and discharge planners.

• Develop systems, processes, and initiatives to engage hospitals and post-acute care providers in relevant case management activities.

• Ensure coordinated care with home care agencies, specialists, and other necessary resources.

• Monitor and facilitate follow-up primary care visits within 24 hours of hospital discharge.

• Conduct comprehensive patient assessments, including medical, psychosocial, and functional evaluations, aligned with patient-centered medical home standards.

• Communicate and coach patients on discharge instructions, medications, and self-management strategies.

• Ensure appropriate home care, hospice, and ancillary services (e.g., DME, infusion) are in place and delivered effectively.

• Coordinate referrals, authorizations, and information flow between providers, hospitals, and care teams.

• Identify high-risk, high-need, and potentially high-cost patients in collaboration with physicians.

• Support implementation of preventive, chronic care, and disease management best practices.

• Facilitate behavioral health screenings and follow-up care as needed.

• Attend required training, collaboration sessions, and care management meetings.

• Obtain necessary medical records for care coordination efforts.

Non-Essential Functions:

• Other duties as assigned.

Qualifications:

• Florida RN degree required; current Florida RN license mandatory.

• Minimum 5 years of direct patient care experience.

• Care management experience preferred; Certified Case Manager (CCM) certification a plus.

• Experience with APMs (CPC+, BPCI, MSSP) and Medicare Advantage preferred.

• Experience across acute inpatient, rehabilitation, sub-acute, skilled nursing, home care, ambulatory care, or managed health plans desirable.

Skills & Competencies:

• Knowledge of utilization management, case/care management principles, healthcare contracts, and hospital payment systems.

• Strong independent judgment and confidentiality.

• Analytical and problem-solving skills with attention to detail and data.

• Excellent communication, interpersonal, and organizational skills.

• Ability to manage multiple priorities, follow up effectively, and meet deadlines.

• Proactive, dependable, and demonstrates high integrity.

• Competence in MS Word, Outlook, PowerPoint, and Excel.

Physical Requirements:

• Primarily sedentary; sitting at a desk most of the day.

• Standing or walking less than two hours per day.

• Occasional lifting up to 10 pounds.

• Frequent use of computer and phone.

Here are just a few things we offer:

• Access to health, dental, and vision insurance

• Health Savings Account

• Eligible for PTO and Holiday pay

• Company paid life insurance.

• Access to voluntary short and long-term disability insurance

• Access to additional life insurance

• Access to Accident and Critical Illness Insurance

• 401K with automatic employer contribution

Medical Specialists of the Palm Beaches, Inc. (“MSPB”) is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: MSPB is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at MSPB are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. MSPB will not tolerate discrimination or harassment based on any of these characteristics. MSPB encourages applicants of all ages.