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Case Manager

Case Manager

Pride HealthDeltona, FL, United States
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Job Title : Care Manager | Case Manager

Work Hours : Monday – Friday, 8 : 00 AM – 5 : 00 PM

License / Certification Required : Registered Nurse (RN) License and BLS Certification

Preferred Certification : IV Certified

Position Overview :

The Care Manager (CM) plays a vital role in improving patient outcomes by reducing hospital admissions, readmissions, and emergency room visits. This position supports high-risk patients in navigating the healthcare system, empowering them through education, advocacy, and resource coordination. The CM collaborates with a multidisciplinary care team to ensure continuity and quality of care.

Team Structure :

You will work alongside :

  • 1 Medical Doctor (MD)
  • 1 Advanced Practice Registered Nurse (APRN)
  • 2 Medical Assistants (MAs)
  • 2 Front Desk Staff
  • 1 Care Coordinator
  • 1 Care Manager (peer)

The team culture is collaborative, patient-centered, and focused on proactive care delivery.

Key Responsibilities :

  • Prioritize patient care needs during initial visits and address emerging issues.
  • Meet with patients, families, and caregivers to discuss care and treatment plans.
  • Identify and follow up with high-risk patients across various care settings (acute, SNF, custodial, ambulatory).
  • Apply evidence-based protocols and care pathways to optimize clinical outcomes.
  • Coordinate discharge planning, including follow-up appointments, home health, transportation, and social services.
  • Maintain effective communication with physicians, hospitalists, and other care team members.
  • Use data and reporting tools to understand the cost implications of care management decisions.
  • Participate in daily huddles and Patient Care Coordination (PCC) meetings.
  • Prepare and present accurate reports for weekly team meetings.

    • Required Skills & Experience :

  • Minimum of 2–3 years of experience in a hospital, urgent care, or primary care setting.
  • Strong verbal and written communication skills.
  • Ability to work independently and manage multiple priorities in a fast-paced environment.
  • Proficiency in Microsoft Office and Excel.
  • Working knowledge of medical terminology and HIPAA regulations.
  • Ability to interact professionally with patients and healthcare personnel.
  • Must be able to pass a color blindness test.

    • Preferred Background :

  • Experience with Medicare Advantage Care.
  • IV certification is a plus.

    • Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

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    Case Manager • Deltona, FL, United States

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