Registered Nurse (RN) - Care Manager

About the role

We are seeking a Licensed Registered Nurse (RN) Care Manager to collaborate with healthcare teams in assessing patient needs, coordinating care, and facilitating safe discharges across inpatient, emergency, and outpatient settings.

Responsibilities

• Conducting comprehensive patient assessments and coordinating multidisciplinary care.
• Managing transitional planning, including patient education, arranging after-care services, and involving payers.
• Supporting department goals such as reducing length-of-stay, preventing readmissions, minimizing denials, and enhancing patient satisfaction.
• Performing utilization reviews, clinical documentation, and participating in performance improvement activities.
• Collaborating with healthcare professionals to evaluate patient needs and ensure safe discharges.
• Adhering to organizational policies and performing additional duties as assigned.

Qualifications & Skills

• BSN or MSN required; RN license valid in the state.
• 1–3 years of clinical nursing experience preferred, especially in Emergency, Critical Care, or Medical-Surgical settings.
• Previous case management experience and familiarity with Milliman/InterQual criteria preferred.
• Knowledge of healthcare regulations, financial issues, and payer systems.
• Strong computer skills and relevant certifications such as PRI, NYS SCREEN, or Care Management credentials preferred.

Pay

This role offers a salary range of $124,156 – $158,065.

Schedule

Involves day shifts with alternating weekends and holidays.