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Job description
Join a Mission-Driven Team Making a Meaningful Difference Every Day
At Agape’s Way Healthcare Services, we provide specialized home health services to individuals with complex healthcare needs. Our team is committed to delivering safe, compassionate, coordinated care while ensuring every patient receives services that align with their individualized plan of care.
We are seeking an experienced and highly organized Registered Nurse (RN) Case Manager to serve as a key clinical resource throughout the patient journey—from referral and pre-admission assessment through ongoing case management, care transitions, and discharge.
This is an excellent opportunity for an RN who enjoys combining clinical judgment, care coordination, documentation, and interdisciplinary collaboration . If you are the type of nurse who notices what is missing, follows details through to completion, and understands how strong clinical coordination improves both patient care and operational outcomes, we want to hear from you.
Why Join Agape’s Way?
Mission-driven organization focused on compassionate, patient-centered care
Opportunity to use your RN expertise beyond traditional bedside nursing
Meaningful involvement throughout the full patient episode of care
Combination of field-based clinical assessment and clinical record coordination
Collaborative environment working with nursing, physicians, referral partners, intake, authorization, scheduling, and billing
Opportunity to support medically complex patients in community-based settings
Professional growth and clinical leadership opportunities
Competitive compensation and benefits package
Position Overview
The RN Case Manager provides clinical support for assigned patients receiving Agape’s Way Home Health Services.
This position conducts in-person pre-admission bedside assessments and coordinates the clinical documentation and follow-through required for admissions, ongoing patient records, physician and allowed-practitioner appointments and orders, referrals, authorizations, transfers, discharges, and billing-denial support.
The RN Case Manager maintains oversight of the assigned clinical record, identifies missing or inconsistent documentation, monitors time-sensitive requirements, and collaborates across departments to help ensure services remain aligned with the patient’s individualized plan of care.
The position exercises Registered Nurse judgment within Florida law, Agape’s Way policies, applicable payer requirements, and the authority of the Director of Nursing.
Reports to: Director of Nursing (DON)
Work Setting: Field / Group Home Settings
Schedule: Monday - Friday - 8:00 AM - 5:00 PM
What You’ll Do
Admissions & Pre-Admission Assessments
Review assigned referrals for clinical completeness, ordered services, patient needs, safety considerations, and appropriateness for Agape’s services
Travel to hospitals, private homes, group homes, skilled nursing/rehabilitation facilities, and other authorized referral locations to conduct in-person bedside assessments
Assess prospective patients’ clinical condition, functional and cognitive status, medications, treatments, equipment needs, risks, support systems, and anticipated home health needs
Apply established admission criteria and provide a documented clinical recommendation regarding patient fit and safety
Complete or coordinate required initial and comprehensive nursing assessments
Verify required orders, consents, authorizations, medication information, and supporting clinical records for start of care
Establish admission documentation in the approved electronic medical record and communicate relevant risks, schedules, and follow-up needs to the care team
Clinical Case Management & Record Coordination
Maintain clinical oversight of an assigned caseload throughout the episode of care
Review plans of care, assessments, medication profiles, practitioner orders, visit notes, authorizations, hospital records, and other clinical documentation
Identify missing, incomplete, inconsistent, or time-sensitive documentation
Track outstanding signatures, orders, authorizations, reassessments, recertifications, addenda, and other clinical requirements through completion
Compare delivered services with the current plan of care and authorized schedule
Escalate missed visits, service gaps, changes in condition, safety concerns, and unresolved clinical barriers appropriately
Maintain patient confidentiality and ensure protected health information is handled through authorized systems and communication channels
Physician Appointments & Clinical Orders
Coordinate clinical preparation and follow-through for physician and allowed-practitioner appointments
Prepare or obtain relevant clinical summaries, medication information, observations, questions, and required documentation
Obtain and process visit notes, test results, referrals, new or changed orders, and follow-up instructions
Reconcile new clinical information with existing plans of care and medication profiles
Identify discrepancies and coordinate clarification with authorized practitioners
Communicate significant changes in condition or failure to meet expected outcomes promptly through the appropriate clinical chain
Transfers, Discharges & Care Transitions
Coordinate clinical requirements related to hospitalizations, resumptions of care, transfers, and discharges
Ensure required assessments, summaries, notifications, orders, and patient instructions are completed
Collaborate with patients, representatives, practitioners, Agape clinicians, referral partners, and other authorized participants to support continuity of care
Ensure discharge and transfer records accurately reflect patient status, unresolved needs, follow-up arrangements, and the reason for transition
Coordinate authorized transmission of clinical records when appropriate
Authorizations, Denials & Clinical Revenue Support
Partner with Intake, Authorization, Scheduling, and Billing to ensure clinical documentation supports ordered and delivered services
Review the clinical components of payer denials, documentation requests, audits, and appeals
Identify missing evidence, response requirements, deadlines, and appropriate owners
Compile supporting clinical records and prepare factual clinical chronologies or draft appeal narratives for authorized review
Track authorization and denial-related follow-up through resolution
Identify recurring documentation, ordering, scheduling, or communication issues that may contribute to preventable denials
Maintain clinical accuracy and integrity throughout the revenue-support process
Interdisciplinary Coordination & Quality
Participate in case conferences and communicate current patient goals, risks, barriers, changes, and follow-up responsibilities
Collaborate with nursing, physicians, practitioners, referral sources, billing, authorization, scheduling, and other authorized care partners
Support incident, complaint, hospitalization, change-of-condition, and survey follow-up
Provide record-based coaching to clinicians regarding documentation expectations
Escalate repeated or serious documentation deficiencies to appropriate leadership
Participate in quality assurance and performance improvement initiatives
Participate in clinical on-call or urgent case/record follow-up when scheduled
What Success Looks Like
A successful RN Case Manager will consistently demonstrate:
Timely and thorough pre-admission bedside assessments
Strong clinical judgment and appropriate escalation
Organized, complete, and audit-ready clinical records
Effective management of competing deadlines and caseload priorities
Timely follow-through on missing orders, signatures, authorizations, and documentation
Strong coordination of admissions, appointments, transfers, and discharges
Accurate clinical support for authorization and denial-related needs
Clear and professional interdisciplinary communication
Consistent follow-through from identification of an issue through resolution
Commitment to documentation integrity, patient safety, and regulatory compliance
These performance expectations are specifically emphasized in the JD, including evaluating performance based on timeliness, completeness, accuracy, communication, follow-through, and corrective-action effectiveness rather than simply focusing on incident or denial counts.
Qualifications
Current, active, and unrestricted Registered Nurse (RN) license in the State of Florida
Graduate of an approved nursing education program
Bachelor of Science in Nursing (BSN) preferred
Minimum of two (2) years of professional nursing experience
Home health, case management, pre-admission/bedside assessment, utilization review, clinical documentation, or medically complex community-care experience strongly preferred
Current Basic Life Support (BLS) certification from an approved provider
Strong knowledge of nursing assessment, plans of care, practitioner orders, medication reconciliation, care transitions, and clinical documentation
Familiarity with payer authorization and healthcare documentation requirements
Experience with electronic medical records and clinical document tracking
Strong written clinical communication and documentation skills
Ability to manage a high-volume caseload and multiple competing deadlines
Excellent organizational, critical-thinking, and problem-solving skills
Ability to identify unresolved issues and follow them through completion or appropriate escalation
Strong professional communication skills when working with patients, representatives, practitioners, referral partners, clinicians, and administrative teams
Valid driver’s license and reliable transportation
Ability and willingness to travel between hospitals, private homes, group homes, skilled nursing/rehabilitation facilities, practitioner offices, and other assigned locations
Ability to successfully complete required background screening, health, and competency requirements
The RN Behind the Continuity of Care
Great case management is about more than maintaining a chart.
It is recognizing what a patient needs, ensuring the right information reaches the right people, identifying gaps before they affect care, and following every important detail through to completion.
If you are an experienced Florida RN who combines clinical judgment with exceptional organization, communication, and follow-through , we encourage you to join Agape’s Way Healthcare Services.
Coordinate the care. Connect the details. Protect the patient journey.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.