ED Case Manager RN – Night Shift, FT

Mount Sinai; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

Mount Sinai Morningside Case Management (ED) seeks a qualified RN Case Manager for FT Night shifts (12-hour) to oversee inpatient case management, admissions screening, and discharge planning. You will collaborate with physicians, social workers, and the interdisciplinary team to optimize LOS, utilization, and patient outcomes.

The role emphasizes documentation, coordination of services, and timely progression through the continuum of care within a major New York health system.

Qualifications

• Bachelor's Degree in Nursing; Masters preferred.
• Previous experience in homecare, long term care or utilization review preferred.
• RN with a minimum of 3-5 years’ experience as an RN in an acute care setting.
• CCM certification preferred; re-credentialing of CCM status expected.
• PRI Certification (to be obtained within 1 year)

Responsibilities

• Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal patient outcomes and appropriate reimbursement for the organization.
• Performs continued stay reviews utilizing standardized criteria to justify continued inpatient stay.
• Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment and consultations.
• Documents all clinical reviews in Canopy.
• Supports the mission, vision, philosophy and goals of the Medical Center.
• Case Management: assessment of the patient’s clinical, psychosocial, and functional status in collaboration with the interdisciplinary team.
• Identification and documentation of variances affecting the LOS and the discharge planning process.
• Conducts follow-up of any delays in treatment or reporting of results.
• Planning/developing specific goals with the physician, interdisciplinary team, and the patient and/or family.
• Implementation and coordination of specific activities, strategies, and interventions to move the patient through the continuum of care.
• Documentation of outcomes achieved and identified internal and external barriers.
• Identifies reasons for readmissions and collaborates with interdisciplinary team on strategies to reduce readmission rate.
• Liaison with financial department for current insurance coverage.
• Interacts with patient/family to discuss plan of care and coordination of services based on clinical needs and available resources.

Education

Bachelor's Degree in Nursing

Masters preferred

Job description

Mount Sinai Morningside Case Management (ED) seeks a qualified RN Case Manager for FT Night shifts (12-hour) to oversee inpatient case management, admissions screening, and discharge planning. You will collaborate with physicians, social workers, and the interdisciplinary team to optimize LOS, utilization, and patient outcomes.

The role emphasizes documentation, coordination of services, and timely progression through the continuum of care within a major New York health system.