Registered Nurse – Case Manager

GuideWell Source

Registered Nurse Case Manager assisting Florida Blue Medicare members with health care choices. Engaging members in health coaching and coordinating care for chronic conditions.

Posted 5/20/2026full-timeRemote • Florida • 🇺🇸 United StatesJuniorMid-Level💰 $71,200 - $89,000 per yearWebsite

About the role

Key responsibilities & impact

Engage Members telephonically or face to face at Florida Blue Retail Centers, hospitals, etc. with a focus on health coaching and member education.
Facilitate access to care and resources to meet the member’s health care needs. Provide education and tools to promote self-management.
Plan, implement, coordinate and monitor Case Management activities that may include acute and non-acute services, outpatient services and or community resources.
Facilitate care for high risk members across the continuum of the health care experience, including care transitions, coordination of community and social service and coordinating with other value-based organizations, providers as needed.
Close gaps in care
Conduct Medication Reconciliation
Collaborate with Member, Member’s Physicians, Plan Medical Directors, Managers, Local, Regional and Specialty team members as well as other functional areas to assist the member to meet their health care goals.
Promote healthy lifestyles, assist in strengthening the patient-physician relationship, encourage behavior and lifestyle changes to realize a better quality of life, for individuals with identified chronic conditions, costly and/or catastrophic illnesses.
Assist Members and their physicians to navigate through the health continuum, educate regarding benefits, identify candidates for Care Programs and provide information pertaining to the network and network access.
Facilitate and document interdisciplinary care team meetings for at risk members as appropriate.

Requirements

What you’ll need

2+ years related work experience in communicating and building relationships with members/providers/employers both telephonically as well as live
RN - Registered Nurse - State Licensure and/or Compact State Licensure Unrestricted License Upon Hire
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
Non-traditional working hours to meet the member's availability
Basic to intermediate experience in MS Word, Excel, tablet and/or smartphone
Travel up to 30% (subject to change) for on-site member/provider/employer meetings, events or manager requests with occasional overnight stays
Must have valid driver's license and reliable transportation

Benefits

Comp & perks

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; and a comprehensive wellness program

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Case ManagementMedication ReconciliationPopulation HealthDisease ManagementUtilization ReviewDischarge PlanningHealth CoachingMember EducationCare CoordinationBehavior Change

Soft Skills

CommunicationRelationship BuildingInfluencingMotivatingCollaborationPlanningImplementationMonitoringOrganizationalInterpersonal

Certifications

Registered NurseState LicensureCompact State Licensure