Care Manager ( Registered Nurse / RN ) - Per Diem

Catholic Health • Bethpage, NY

1d

About The Position

At Catholic Health, the primary focus is treating and serving communities through collaborative, compassionate care and evidence-based practice. The Care Manager supports case management for patients in an acute care setting, coordinating with patients, families, physicians, staff, social work, interdisciplinary teams, and third-party payors. The role helps determine medical necessity, support optimal care progression, and facilitate safe and appropriate discharge planning.

Requirements

• At least 3 years of diverse inpatient acute care RN experience.
• At least 1 year of case management experience.
• Excellent written and verbal communication skills.
• Strong organizational skills, attention to detail, and critical thinking ability.
• Ability to assess, evaluate, plan, and coordinate complex patient placement and discharge activities.
• Strong time management skills and ability to manage competing priorities in a fast-paced acute care environment.
• Flexibility and adaptability in response to changing patient needs, discharge plans, payer requirements, and operational demands.
• Proficiency in Microsoft Office applications.
• Graduate of an accredited School of Nursing.
• New York Registered Nurse (RN) license and registration.

Nice To Haves

• Progressive leadership experience.
• Knowledge of progression of care, medical necessity criteria, and post-acute authorization processes.
• Bachelor of Science in Nursing (BSN) degree.
• Case Management Certification.
• PRI Certification.

Responsibilities

• Educate staff, physicians, patients, and families about the case management process.
• Review new admissions and continued-stay patients to determine whether MCG criteria are met.
• Engage physicians to establish the optimal DRG, length of stay, and expected discharge date.
• Interface with third-party payor representatives to assist with certification and discharge planning, responding promptly to review requests to avoid denials.
• Review records and collaborate with the interdisciplinary team to gather information about patients and transmit relevant information to third-party payors to avoid denials.
• Participate in interdisciplinary rounding and identify areas for improvement.
• Facilitate communication among patients, families, and social work to ensure safe and appropriate discharge plans.
• Collaborate effectively within an interdisciplinary team and engage patients and families.

What This Job Offers

• Career Level: Mid Level
• Education Level: Associate degree