Registered Nurse (RN) – Case Manager - RNCMST
NavitasPartners•Syracuse, NY
•Onsite
About The Position
Navitas Healthcare, LLC is seeking an experienced Registered Nurse Case Manager to coordinate patient care, support utilization management activities, and ensure appropriate level-of-care determinations. The ideal candidate will have strong clinical assessment skills, experience with hospital admissions and discharge planning, and knowledge of healthcare payer requirements and regulatory guidelines.
Requirements
- Active New York State RN License
- Current BLS Certification
- Minimum 1.5 years of recent acute care experience within the last 2 years
- Ability to work independently and collaboratively with interdisciplinary teams
- Must pass background screening, drug screening, and health clearance requirements
Nice To Haves
- Experience in hospitals of similar or greater size preferred
- EPIC EMR experience preferred
- Strong communication, organizational, and critical thinking skills
Responsibilities
- Coordinate and manage patient care throughout the continuum of care
- Conduct clinical reviews and assess appropriate levels of care
- Collaborate with physicians, nursing staff, patients, and families to develop care plans
- Assist with utilization management and utilization review activities
- Apply level-of-care screening criteria such as MCG or InterQual
- Monitor patient progress and coordinate discharge planning
- Interface with healthcare payers, insurance providers, and regulatory agencies
- Ensure compliance with CMS regulations and hospital policies
- Maintain accurate documentation using EPIC EMR
- Advocate for patients while promoting efficient use of healthcare resources
Benefits
- Most competitive pay for every position
- Salary will be discussed upfront
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
