RN Case Manager: Inpatient Care & Discharge Coordination

Mount Sinai Morningside; New York (NY); On-site; USD 95,000 - 125,000; Full time

Job summary

Mount Sinai West is seeking an RN Case Manager to oversee inpatient case management across units, coordinating UR, discharge planning, and care coordination with physicians, social workers, and home health providers. Responsibilities include reviewing admissions, facilitating timely plans of care, and documenting outcomes in the medical record.

The role requires NYS RN license with CCM and PRI certifications preferred; involvement in appeals and collaboration with the care team is essential.

Qualifications

• Bachelor’s Degree in Nursing; Masters preferred.
• Current NYS RN nursing license.
• CCM certification preferred. Re-credentialing of CCM status expected.
• PRI Certification (to be obtained within 1 year).

Responsibilities

• Reviews all new admissions to identify need for utilization review, discharge planning, and case management.
• Performs continued stay reviews to justify continued inpatient stay.
• Collaborates with physicians and clinicians to expedite testing, treatment, and consultations.
• Documents clinical reviews in Canopy.
• Identifies reasons for readmissions and collaborates on strategies to reduce readmission rate.
• Assesses discharge planning readiness and coordinates post-discharge services.

Education

Bachelor’s Degree in Nursing

Master's degree preferred

Job description

Mount Sinai West is seeking an RN Case Manager to oversee inpatient case management across units, coordinating UR, discharge planning, and care coordination with physicians, social workers, and home health providers. Responsibilities include reviewing admissions, facilitating timely plans of care, and documenting outcomes in the medical record.

The role requires NYS RN license with CCM and PRI certifications preferred; involvement in appeals and collaboration with the care team is essential.