Your New Assignment for RN Care Manager in White Plains, NY

New Assignment Ready ! 

Key Responsibilities

• Perform comprehensive initial and ongoing patient assessments.
  

• Identify high-risk patients and evaluate discharge planning needs.
  

• Coordinate multidisciplinary care across inpatient, emergency, surgical outpatient, and inter-hospital settings.
  

• Develop transitional care plans, including patient and caregiver education and aftercare arrangements.
  

• Collaborate with healthcare professionals, payers, and other stakeholders.
  

• Perform utilization review activities, including admission reviews, payer reviews, disposition determinations, and retrospective audits.
  

Required Qualifications

• Current New York RN license
  

• BSN or MSN required
  

• Clinical experience in one or more of the following:
  

  • Emergency Department
    

  • Critical Care
    

  • Medical-Surgical Nursing
    

• Previous Case Management experience
  

• Experience using Milliman or InterQual criteria
  

• Strong computer skills
  

Preferred Qualifications

• Approximately 3 years of relevant clinical experience
  

• PRI Certification (must be obtained within 3 months of employment)
  

• Screen Certification strongly preferred
  

• Care Management certification, such as CMC or CCM
  

• Knowledge of healthcare financial, regulatory, and payer issues
  

• Familiarity with state, local, and federal healthcare programs