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Inpatient Case Manager RN - Days

Inpatient Case Manager RN - Days

NewYork-PresbyterianBrooklyn, NY, United States
7 hours ago
Job type
  • Full-time
Job description

Join a Team Committed to Transforming Healthcare

Position : Inpatient Case Manager - RN - Days

This acute-care teaching hospital has been dedicated to providing outstanding medical care for over 135 years. Located in Park Slope, Brooklyn, we are seeking a Case Manager RN to oversee discharge planning and utilization management for a designated group of patients.

The Case Manager will play a vital role in assessing admission appropriateness and continue to evaluate patient care plans to ensure they are implemented effectively and promptly. Collaboration with physicians, social workers, clinical nurses, home care services, and other interdisciplinary team members is essential for maximizing the efficiency and quality of care provided.

Key responsibilities include :

  • Managing 60-70 medical / surgical daily admissions, including risk identification and clinical reviews.
  • Ensuring 100% clinical reviews for managed care, Medicare, and Medicaid admissions.
  • Conducting concurrent and retrospective reviews.
  • Communicating with medical staff regarding patients who do not meet inpatient criteria.
  • Coordinating expedited appeals for inpatient denials with attending physicians and insurance providers.
  • Maintaining efficient organization resource utilization.
  • Completing patient assessments within 24 hours.
  • Planning safe and effective post-acute care options.
  • Securing necessary authorizations from managed care companies for post-discharge services.

This is a full-time position with hours from Monday to Friday, 8 : 30 am to 5 : 00 pm, and will require weekend rotations and availability for holidays.

Preferred Qualifications :

  • Master's degree
  • CCM certification
  • Required Qualifications :

  • Current New York State RN license.
  • Bachelor's degree in Nursing (BSN).
  • 3-5 years of acute care RN experience.
  • Experience in inpatient case management, discharge planning, certified home health care, or managed care organizations.
  • PRI certification.
  • BCLS Certification.
  • Join a healthcare system that values employee engagement and fosters a culture of respect, belonging, and inclusion. Enjoy comprehensive benefits that support you and your family in every aspect of your life. Start your rewarding journey with us today.

    Please note that all roles require on-site presence. Employees should live within a commutable distance to NYP, as travel expenses are not reimbursed.

    Salary Range : $118,134 - $155,787 / Annual

    Your journey starts here! Our competitive compensation packages reward your experience and education, complemented by benefits that promote personal and professional growth in a dynamic environment.

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    Inpatient Case Manager Rn • Brooklyn, NY, United States

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