RN Case Manager: Care Continuum Lead

Mount Sinai; New York (NY); On-site; USD 75,000 - 107,000; Full time

Job summary

Mount Sinai West is seeking a Registered Nurse/Case Manager to oversee case management for inpatients, ensuring appropriate admission and continued stay, and coordinating with the care team to implement care plans and determine expected length of stay.

The role requires collaboration with physicians, social workers, and home care services, with responsibilities spanning utilization review, discharge planning, and documentation in Canopy.

Qualifications

• Bachelor’s Degree in Nursing; Masters preferred.
• Current NYS RN nursing license.
• CCM certification preferred; re-credentialing expected.
• PRI Certification (to be obtained within 1 year).
• 3–5 years’ experience as RN in an acute care setting.

Responsibilities

• Reviews all new admissions to identify utilization review and discharge planning needs.
• Performs continued stay reviews using standardized criteria.
• Collaborates with physicians and clinicians to expedite testing and consultations.
• Documents all clinical reviews in Canopy.
• Assists in discharge planning and coordinates post-discharge needs.
• Assesses patient status and develops goals with the team and patient/family.
• Coordinates activities to move the patient through the continuum of care.
• Identifies reasons for readmissions and works on reduction strategies.
• Maintains UR notes per OMH guidelines in psychiatry.

Skills

Case management

Discharge planning

Utilization review

Interdisciplinary collaboration

Education

Bachelor's Degree in Nursing

NYS RN license

CCM certification

PRI Certification

Tools

Canopy

Job description

Mount Sinai West is seeking a Registered Nurse/Case Manager to oversee case management for inpatients, ensuring appropriate admission and continued stay, and coordinating with the care team to implement care plans and determine expected length of stay.

The role requires collaboration with physicians, social workers, and home care services, with responsibilities spanning utilization review, discharge planning, and documentation in Canopy.