RN Case Manager - Inpatient Care Coordination

Presbyterian Healthcare ServicesNew York, NY
Onsite

About The Position

Make a meaningful impact at Presbyterian Hospital. We are seeking an experienced RN Case Manager to support high-quality, patient-centered care through clinically based case management. This role integrates utilization management, care coordination, and transition planning to ensure patients receive the right care at the right time. How you grow, learn and thrive matters here.

Requirements

  • Associates Degree in nursing required.
  • BSN within 5 years of hire date.
  • Current State of New Mexico Registered Nurse licensure required.
  • 2 years adult bedside experience required.
  • Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required.
  • Bachelors degree in nursing plus 5 years utilization review or case management experience required; or Masters degree in Nursing.
  • Masters degree in nursing plus 5 years utilization review or case management experience required; or Bachelors degree in nursing plus 10 years utilization review or case management experience required.

Nice To Haves

  • National Case Management certification preferred

Responsibilities

  • Manage a designated caseload, collaborating with an interdisciplinary team to optimize length of stay, coordinate discharge planning, and support safe transitions across the continuum of care.
  • Partner with physicians, patients, families, payers, and post-acute providers to improve outcomes, enhance patient satisfaction, and reduce barriers to discharge.
  • Conduct comprehensive assessments, identify barriers to discharge, and ensure patients receive the right care at the right time from admission through transition.
  • Apply approved clinical criteria to monitor admissions and continued stay, collaborate with providers on medical necessity documentation, and escalate cases as appropriate.
  • Develop and coordinate individualized discharge plans, arrange post-acute services, and ensure timely, safe transitions to prevent delays and reduce readmissions.
  • Partner with physicians, nursing, social work, and ancillary services through daily rounds, care conferences, and complex case discussions to optimize length of stay and patient outcomes.
  • Maintain accurate, timely documentation; communicate effectively with patients, families, and payers; and contribute to performance improvement and professional development initiatives.

Benefits

  • Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
  • Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
  • Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
  • Malpractice liability insurance
  • Loan forgiveness through the New Mexico Higher Education Department
  • EPIC electronic charting system
  • Sign-on bonus & relocation available for qualified candidates.
  • free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
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