RN Care Navigator – Utilization & Discharge

Massena Hospital; Village of Potsdam (NY); On-site; USD 70,000 - 95,000; Part time

Job summary

Massena Hospital is seeking a Care Facilitator in Case Management to coordinate patient care across the continuum. You will plan with care teams, perform utilization reviews, and ensure efficient resource use while aligning with payer requirements.

The role emphasizes collaboration with physicians and ancillary staff, ensuring high-quality patient outcomes and service excellence within a per diem schedule that covers weekends and 8-hour shifts.

Qualifications

• RN licensure in New York State is required.
• Bachelor’s degree in nursing preferred; relevant clinical experience valued.
• BLS certification (American Heart Association) required or current.
• Experience in case management or utilization management is preferred.

Responsibilities

• Conduct clinical reviews using InterQual criteria to determine appropriate level of care.
• Monitor resource utilization and coordinate continued stay reviews.
• Serve as liaison between hospital and payors to optimize benefits and communication.
• Collaborate with care teams to remove barriers to care and participate in daily huddles.
• Assign level of care considering payer requirements to avoid financial risk.
• Support discharge planning and referrals to appropriate care settings.

Skills

Interdisciplinary collaboration

Discharge planning

Utilization management

Communication skills

Education

RN licensed in NY

Bachelor's degree in Nursing (preferred)

Job description

Massena Hospital is seeking a Care Facilitator in Case Management to coordinate patient care across the continuum. You will plan with care teams, perform utilization reviews, and ensure efficient resource use while aligning with payer requirements.

The role emphasizes collaboration with physicians and ancillary staff, ensuring high-quality patient outcomes and service excellence within a per diem schedule that covers weekends and 8-hour shifts.