InnovaCare Health

Registered Nurse Care Manager

InnovaCare Health  •  Trinity, FL (Hybrid)  •  13 days ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

InnovaCare Management Services Company, LLC

Inpatient Care Manager

PLEASE NOTE - THIS POSITION IS A HYBRID POSITION AND WILL REQUIRE WORK FROM HOME AND IN-OFFICE THROUGHOUT THE WEEK.

InnovaCare Health operates more than 40 clinics throughout Florida and Texas and is recognized as a leader in transforming how care is delivered. Our physician‑led model blends clinical expertise, advanced technology, and a commitment to personalized, coordinated care that puts patients at the center of every decision. Our impact extends beyond our clinic walls through public health education, outreach, and philanthropic efforts that strengthen the well‑being of the communities we call home. As we continue to grow, we invite passionate individuals to explore opportunities with InnovaCare Health and join us in improving the lives of those we care for each day.

Inpatient Care Managers support patients throughout patient hospitalization/facility admission and ensure a smooth transition through discharge. They identify, track, and monitor patients from arrival at a healthcare facility through discharge- ensuring a smooth transition. Inpatient Care Managers review medical records to ensure appropriate utilization and that patients’ needs are met for the discharge plan. They collaborate with the inpatient regional medical director, patient, hospital system, and multidisciplinary team in coordination of care to ensure the patient receives the appropriate services, at the appropriate level of care, at the appropriate time. The care manager identifies barriers and provides intervention at the guidance of the clinician to prevent avoidable hospital utilization and collaborates with the internal care management team to ensure continued support is provided. The Inpatient Care Manager is a vital asset to ensuring optimal care for InnovaCare health’s patient population. This is a hybrid role that will be up to 50% onsite at the hospital setting and 50% remote work from home.

Why Join InnovaCare Health

Our Philosophy: We don’t just treat conditions; we care for people. We empower patients through education, partnership, and compassionate support. Our whole‑person, high‑touch approach looks beyond symptoms to understand each patient’s full health picture, physical, emotional, and social. We emphasize proactive prevention through screenings, vaccinations, and early detection to help patients stay healthy and active.

Our Model of Care: We’re committed to building strong, lasting relationships with our patients. Every visit, conversation, and care plan is designed to support long‑term health, independence, and quality of life. As a one‑stop shop for care, our providers are trained to treat multiple conditions and guide patients through every stage of their health journey.

We are deeply rooted in the communities we serve, partnering with local organizations, supporting families, and ensuring every patient feels seen, supported, and cared for. Our teams live and work in the same neighborhoods as our patients, and that connection fuels our mission.

Essential Job Functions

  • Provides utilization support and review by:

    • Reviewing daily inpatient/observation status

    • Participating in daily care management IP rounds

    • Review medical records and coordinate with health plan and hospital for appropriate patient care

    • Identify patient needs and risks for readmission

    • Collaborate with office, care management team, and providers to support transition of care

    • Follow up with other teams for pending tasks completeness

  • Utilizes Electronic Medical Record (EMR), Excel, and InterQual daily

  • Follows up on escalations and documents accurately

  • Assists with required paperwork from hospitals. SNFs. LTAC, Home health

  • Excellent communication skills with the ability to adapt to the audience/environment

  • Establishes and maintains positive relationships with all internal and external partners

  • Highly organized with ability to keep accurate notes and records

General Knowledge/Skills

  • Must: Critical thinking and problem-solving skills.

  • Preferred:Clinical knowledge of chronic conditions, management of high-risk patientpopulationsand knowledge of available communityresources.

  • Strong knowledge of managed care concepts

  • Strong written and verbal skills with patients, physicians and other stakeholders including techniques infacilitatingpatient engagement in their healthcare

  • Demonstrateabilitytotimelyassess and respond to patient and family needs

  • General knowledge of care(case)management practices, including familiarity with Medicare Advantage products, programs, and services

  • Experience inestablishingprofessional and collaborative relationships with patients,providers,and insurance organizations.

  • Basic computer skills, including working knowledge of the Microsoft Office suite

  • Not required, but preferred:Certification as a diabetes educator, nutritionist or social worker or other specialty

Minimum Required Education, Experience & Skills

  • Licensed and credentialed RN - Active, Unrestricted Florida License, BSN preferred

  • Minimum of 3 years’ experience in a clinical setting- hospital preferred

  • Continuing educationinCare(Case)Management and all other applicable professional licensure

  • CPR/BLS certification

  • Transitional care management/Discharge planning experience

  • InterQual experience preferred

  • Utilization review or hospital case management experience preferred

  • Bilingual in English/Spanish preferred but not required

ENVIRONMENTAL AND WORKING CONDITIONS

In this position, the employee will work in an office/hospital setting that requires sitting, walking, talking, and listeningPosition will require a valid driver’s license and will travel approximately 30% ofthe time

Physical & Mental Requirements

  • Required immunizations and vaccinations.

  • Ability toliftto 50pounds.

  • Ability to push or pull heavy objects using up to 100pounds of force

  • Ability to endure repetitive motions (i.e.; bending, stooping, reaching, pushing, pulling).

  • Ability to stand or sit for extended periods of time

  • Ability to use fine motor skills tooperateequipment and/or machinery

  • Ability to properly drive andoperatea vehicle

  • Ability to receive andcomprehendinstructions verbally and/or in writing

  • Ability to use logical reasoning for simple and complex problem solving

  • Occasionally requires exposure to communicable diseases or bodily fluids

  • Ability to discriminate shades of color when reading a dipstick.

  • Occasional travel for clinic activities may berequired(ex.InnovaCaremeetings or training).

The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.

Innovacare participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

InnovaCare Health

About InnovaCare Health

InnovaCare Health improves the lives of members and physicians through innovative solutions for value-based healthcare. In each unique market the company serves, InnovaCare works across the healthcare ecosystem – with patients, providers, payers and other partners – to increase access to high-quality, affordable care.

Based in Orlando, F.L., InnovaCare has been on the forefront of value-based care for more than a decade, distributing risk and developing proprietary technologies to inspire patient and provider engagement. Through an integrated portfolio of health plans, medical service organizations, clinical networks and more, the company manages more than 500,000 lives, including more than 150,000 dual-eligible beneficiaries. InnovaCare’s Medicare Advantage plans have received NCQA accreditation and 4.5-star quality ratings from the Centers for Medicare and Medicaid Services (CMS).

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Orlando, Florida
Year Founded
Unknown
Social Media