Care Manager – Emergency Department - CMEDAN

NavitasPartners • Bronx County, NY

22h • Onsite

About The Position

We are seeking an experienced Registered Nurse to serve as a Care Manager in the Emergency Department for a 13-week contract assignment in Bronx, NY. This role focuses on care coordination, utilization review, and discharge planning within a fast-paced acute care environment. The ideal candidate will have extensive inpatient hospital experience and a strong understanding of case management processes, regulatory requirements, and evidence-based utilization criteria.

Requirements

• Minimum 5 years of acute inpatient hospital experience as a Registered Nurse.
• Strong background in Care Coordination, Utilization Review, and Discharge Planning .
• Proficiency with InterQual and/or Milliman criteria .
• Experience with EPIC EMR .
• Associate Degree in Nursing (ASN/ADN) from an accredited program.
• Active New York State RN License .
• Current BLS Certification .
• PRI and Screen certification (or ability to obtain within 3 months).

Responsibilities

• Perform comprehensive care coordination for ED patients.
• Conduct utilization review using InterQual and/or Milliman criteria.
• Develop and implement effective discharge plans in collaboration with the interdisciplinary team.
• Coordinate transitions of care to ensure appropriate post-acute services.
• Collaborate with physicians, nursing staff, social workers, and ancillary departments.
• Document assessments, reviews, and care plans accurately in EPIC EMR.
• Advocate for patients to ensure appropriate level of care and resource utilization.
• Maintain compliance with hospital policies, state regulations, and payer requirements.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree