Career Details
Full-Time Melbourne Posted on 7/29/2025
Nurse Case Manager
Join a team where your dedication makes a real difference every day! We are seeking a proactive, detail-oriented individual with a passion for healthcare and a strong commitment to excellence in customer service.
We offer:
- Benefits
- Health, Vision, Dental, Disability Insurance, Life Insurance, 401k, Aflac
- On-the-job training
- A supportive team environment
This is an on-site, full-time position (8am-5pm) at our Melbourne location
141 E. Hibiscus Blvd Melbourne, FL 32901
- MUST PASS DRUG TEST INCLUDING CANNABIS- this is a drug-free workplace
- LEVEL 2 BACKGROUND SCREENING CLEARANCE REQUIRED BEFORE HIRE
- Candidates must not have any felony convictions to be eligible for employment
Salary determined by qualifications and experience
Annual salary increases based on performance and company benchmarks, supporting long-term career and income growth
Note: This position is non-clinical and involves no direct patient care. It is ideal for RNs seeking a transition into administrative, office-based roles within healthcare.
Key Responsibilities:
- Serve as a vital liaison between patients, providers, and healthcare professionals, ensuring smooth and compassionate communication at every step
- Ensure all documentation for respiratory equipment (e.g., ventilators, oxygen systems, tracheostomy supplies) and enteral nutrition complies with payer and insurance guidelines
- Ensure all documentation for hospice care equipment complies with payer and insurance guidelines
- Handle telephone orders for respiratory/hospice equipment, supplies, and enteral services with efficiency and professionalism
- Coordinate the timely and accurate processing of orders for respiratory/hospice equipment, and enteral supplies
- Track and follow up on the delivery, setup, and ongoing service of equipment and supplies to ensure continuity of care
- Submit and follow up on prior authorization requests for equipment
- Maintain up to date knowledge of all related medical and insurance information
- Maintain HIPAA compliance in all patient interactions, documentation, and communications
- Update and maintain patient case records daily
- Collaborate with the billing department to resolve any outstanding issues quickly and accurately
- Support sales and other internal teams by providing respiratory expertise and insight
- Other duties as assigned which may include uncompensated attendance at functions during non-business hours
Qualifications:
- Active Registered Nurse (RN) license is a plus but not required
- Prior experience as a nurse required
- Experience in case management preferred
- Knowledge of ventilators, oxygen, enteral foods, trach, etc.
- Strong understanding of insurance policies and Medicare/Medicaid regulations
- Familiarity with Brighttree and Parachute prefrerred
- Ability to work independently in a non-clinical, office setting
- Must be computer literate
- Must maintain a current, valid Florida driver’s license
- Ability to sit/stand for long periods of time
- Must have tb QuantiFERON test or chest x-ray
- Must be able to obtain and keep a level 2 background screening clearance
IN ACCORDANCE WITH OSHA EXPOSURE GUIDELINES, PLEASE BE ADVISED THAT YOUR JOB IS A CATEGORY II POSITION, YOUR NORMAL WORK ROUTINE INVOLVES NO EXPOSURE TO BLOOD, BODY FLUIDS OR TISSUES, BUT EXPOSURE TO POTENTIAL EXPOSURE MAY BE REQUIRED AS A CONDITION OF EMPLOYMENT. APPROPRIATE PROTECTIVE MEASURES ARE READILY AVAILABLE TO EVERY EMPLOYEE.