To optimize patient care and resource utilization, the full-time Florida Licensed Case Manager will review medical records, ensure compliance with insurance guidelines, and collaborate with the healthcare team while working remotely. Key responsibilities Review medical records to determine medical necessity for admissions and continued hospital stays Collaborate with multidisciplinary teams to facilitate discharge planning and reduce length of stay Manage financial clearance processes for potential transplant patients and ensure accurate billing and collections Required qualifications Current Florida Licensed Case Manager certification Experience in case management and utilization management Knowledge of federal, state, and private insurance guidelines Ability to analyze financial information for patient eligibility Proficiency in electronic health record systems and patient registration processes