RN Case Manager
Brooklyn, NY
Host Healthcare
3x12 hrs, Days
Referral Bonus

RN Case Manager - Brooklyn, New York

Job Summary

• Coordinate and ensure delivery of patient care.
• Collect utilization management and quality assessment data.
• Regularly interact with physicians to clarify plans of care.
• Review patients for high-risk criteria related to discharge planning.

Responsibilities

• Monitor patients to determine needs for timely discharge.
• Confer with third-party payers within 24 hours of notification.
• Conduct initial case review within 72 hours of admission.
• Screen patients for high-risk discharge planning needs.
• Develop discharge plans for uncomplicated cases.
• Refer patients to Social Worker for assessment and discharge planning as needed.
• Collaborate with healthcare team members to facilitate care progress.
• Ensure attending physician develops a timely, goal-oriented plan of care.
• Negotiate with physicians and healthcare practitioners to improve care plans.
• Monitor duplication of tests and delays in diagnostics, treatment, or scheduling.
• Ensure documentation of patient progress toward clinical outcomes.
• Conduct concurrent reviews and participate in performance improvement data collection.
• Review cases for continued stay appropriateness.
• Collaborate with physicians on issues; refer to physician advisor if needed.
• Document review findings and provide clinical information to third-party payers.
• Perform retro reviews as requested by third-party payers.
• Maintain current knowledge of field developments through literature and education.
• Participate in in-service and continuing education programs.
• Maintain professional memberships and attend relevant lectures.
• Promote high levels of patient and staff satisfaction.
• Display courtesy, tact, and diplomacy with staff, patients, visitors, and external representatives.
• Assist colleagues and others in achieving goals or completing tasks.
• Perform other duties as assigned or necessary in emergencies.

Contract Length

• 13 weeks

Required Skills & Experience

• Minimum 3 years of direct patient care experience.

Education Requirements

• Bachelor’s Degree in Nursing (BSN) required.
• Master’s Degree in Nursing preferred.

Certifications & Licensure

• Current New York State RN License required.
• Basic Life Support (BLS) required.
• Advanced Cardiovascular Life Support (ACLS) required.
• Pediatric Advanced Life Support (PALS) preferred.
• Case Manager Certification (CCM) preferred.