RN Hospital Case Manager

***RN Hospital Case Management experience is a MUST***BSN is a MUST***

Job Title: Case Manager RN Department: Care Management Status: Full-Time, Day Shift (Mon-Fri, 8:30A-4:30P or 9A-5P with monthly weekend rotation) Salary Range: $120,000 to 150,000

About the Role:

As a Case Manager RN you'll play a vital role in coordinating care for patients with complex medical needs. You'll work closely with patients, families, and healthcare providers to ensure optimal outcomes and facilitate a smooth transition from hospital to home or other care settings.

Key Responsibilities:

• Conduct comprehensive assessments to identify patient needs.
• Develop and implement individualized care plans.
• Coordinate with healthcare providers and community agencies.
• Educate patients and families about their care plan.
• Facilitate discharge planning and transitions of care.
• Advocate for patients' rights and interests.
• Contribute to quality improvement initiatives.

Qualifications:

• Bachelor's degree in Nursing (BSN) or related field.
• Minimum of five years of clinical experience in ED, critical care, or med/surg.
• Previous case management experience preferred.
• Knowledge of healthcare financial, regulatory, and payer issues.
• Knowledge of state, local, and federal programs.
• Experience with Milliman/InterQual criteria.
• Registered Nurse (RN) NYS license required.
• PRI/Screen certification strongly preferred.
• C.C.M. (Certified Case Manager) certification preferred.
• Strong computer skills.

Benefits:

• Competitive salary and benefits package.
• Opportunity to work in a supportive and collaborative environment.
• Professional development and growth opportunities.