RN Case Manager — Care Coordination & Discharge Expert

Cayuga Medical Center; Town of Ithaca (NY); On-site; USD 56,000 - 75,000; Part time

Job summary

Arnot Health in Ithaca, NY is seeking a Part-time Case Manager to oversee care for complex patients. The role collaborates with physicians, payers and interdisciplinary teams to ensure appropriate levels of care and efficient discharge planning.

Responsibilities include reviewing admissions for medical necessity, initiating individualized care plans, coordinating post-acute care and documenting compliance with InterQual criteria.

Qualifications

• Graduate of an approved registered nursing program with a current NYS RN license.
• BLS certification required within 90 days of hire.
• BSN or Case Management Certification preferred.
• Three to five years of clinical nursing in an acute care hospital setting.
• Experience in case management is preferred.

Responsibilities

• Review admissions and continued stays for medical necessity and appropriate level of care using InterQual criteria and payer guidelines.
• Identify patients who would benefit from Case Management services and develop individualized care plans to support quality outcomes.
• Collaborate with physicians, patients, families, payers, and interdisciplinary care teams to coordinate services and facilitate care transitions.
• Manage discharge planning and post-acute care arrangements, including home health services and rehabilitation placements.
• Prepare and communicate Medicare and non-Medicare notices of non-coverage and maintain regulatory compliance.
• Monitor patient progression and promote timely discharge; track utilization metrics and patient satisfaction.
• Lead and participate in care coordination meetings and interdisciplinary rounds.

Skills

RN license

BLS

Education

Registered Nursing Program

Job description

Arnot Health in Ithaca, NY is seeking a Part-time Case Manager to oversee care for complex patients. The role collaborates with physicians, payers and interdisciplinary teams to ensure appropriate levels of care and efficient discharge planning.

Responsibilities include reviewing admissions for medical necessity, initiating individualized care plans, coordinating post-acute care and documenting compliance with InterQual criteria.