Registered Nurse (RN) - Care Manager

About the role

We are seeking a Registered Nurse (RN) Care Manager for a direct hire role focused on patient assessment, care coordination, and discharge planning in various healthcare settings.

Responsibilities

• Conducting initial patient assessments
• Coordinating multidisciplinary care
• Facilitating transitions
• Educating patients and caregivers
• Collaborating with healthcare teams to improve outcomes such as reducing length-of-stay, readmissions, and denials while enhancing patient satisfaction
• Performing utilization reviews
• Supporting departmental goals
• Documenting clinical activities
• Participating in performance improvement initiatives
• Ensuring compliance with policies, standards, and regulations, including state and federal healthcare programs

Qualifications and Skills

• BSN or MSN required
• Active RN license in New York upon hire
• 1-3 years of clinical experience preferred, especially in Emergency, Critical Care, or Medical-Surgical settings
• Previous case management experience and familiarity with Milliman/InterQual criteria are advantageous
• Strong computer skills
• Knowledge of healthcare regulations, payer systems
• Certifications such as PRI, SCREEN, or Care Management (e.g., CCM, CMC) preferred

Schedule

This role involves day shifts, working Monday through Friday with alternating weekends and holidays, supporting geriatric patients across inpatient, emergency, and outpatient settings.