RN Care Manager - Discharge & Care Coordination

Montefiore Health System; City of White Plains (NY); On-site; USD 88,000 - 112,000; Full time

Job summary

Montefiore Health System in White Plains, NY is seeking an RN Care Manager for a full-time day shift. The role performs initial admissions assessments, coordinates multidisciplinary care, and develops discharge plans to minimize readmissions.

Qualified candidates hold a BSN or MSN, NY RN license, and have 1–3 years of relevant experience (case management preferred). Certification in CCM/CMC or PRI screens is a plus.

Qualifications

• BSN or MSN required.
• 1–3 years clinical experience in ED/ICU/Med-Surg preferred.
• 1–3 years case management experience preferred.
• 1–3 years experience with Milliman/InterQual criteria preferred.
• Knowledge of healthcare financial, regulatory, and payer issues preferred.
• Knowledge of state, local, and federal programs preferred.
• Computer skills essential.
• RN license NYS required on hire.
• PRI certification within 90 days required.
• PRI Screen preferred.
• CCM/CMC certification preferred.

Responsibilities

• Performs the initial comprehensive assessment on admission.
• Coordinates multidisciplinary care at intra- and inter-hospital levels.
• Conducts discharge planning and aftercare arrangements.
• Communicates patient information to relevant health team members.
• Supports LOS reduction and readmission prevention goals.
• Documents per department requirements.
• Participates in performance improvement activities.
• Performs UR activities per department policy.

Skills

Care Coordination

Computer Skills

Registered Nurse NY

PRI Certification

PRI Screen

CCM/CMC Certification

Milliman/InterQual

Payer/Regulatory knowledge

Education

BSN

MSN

Tools

Milliman/InterQual criteria

Job description

Montefiore Health System in White Plains, NY is seeking an RN Care Manager for a full-time day shift. The role performs initial admissions assessments, coordinates multidisciplinary care, and develops discharge plans to minimize readmissions.

Qualified candidates hold a BSN or MSN, NY RN license, and have 1–3 years of relevant experience (case management preferred). Certification in CCM/CMC or PRI screens is a plus.