RN – Case Manager / Utilization Review / CDI – Contract opportunity - RCMURC 25-34323

NavitsPartners • Syracuse, NY

5d • Onsite

About The Position

The RN Case Manager / Utilization Review / Clinical Documentation Improvement (CDI) professional plays a critical role in coordinating patient care, ensuring appropriate utilization of healthcare resources, and supporting accurate clinical documentation within an acute care hospital setting. This position collaborates closely with interdisciplinary teams to promote quality outcomes, regulatory compliance, and efficient care transitions.

Requirements

• Active Registered Nurse (RN) license (state license as applicable)
• Recent acute care hospital case management experience required
• EPIC EMR experience required
• Strong knowledge of utilization review processes and clinical documentation standards
• Ability to work independently and collaboratively in a fast-paced hospital environment
• Excellent communication, critical thinking, and organizational skills
• Full commitment to the 13-week assignment is required
• Ability to start immediately and work a consistent Monday–Friday schedule

Responsibilities

• Perform inpatient case management functions including care coordination, discharge planning, and utilization review.
• Conduct utilization management reviews to ensure medical necessity, appropriate level of care, and payer compliance.
• Support Clinical Documentation Improvement (CDI) initiatives to promote accurate and complete clinical documentation.
• Collaborate with physicians, nursing staff, social workers, and ancillary departments to optimize patient outcomes.
• Utilize EPIC EMR to document assessments, care plans, and utilization activities accurately and timely.
• Identify barriers to discharge and implement solutions to facilitate safe and timely transitions of care.
• Ensure compliance with hospital policies, regulatory standards, and payer guidelines.
• Participate in interdisciplinary rounds and communicate effectively with care teams and leadership.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed