RN Case Manager: Utilization Review

Pride Health; New York (NY); On-site; USD 89,544 - 103,320; Full time

Benefits offered by this job

Comprehensive healthcare coverage

401(k) retirement savings

Life & disability insurance

Employee assistance program

Legal support

Employee discounts

Job summary

A healthcare organization is seeking an experienced Registered Nurse (RN) – Case Management for their New York location. The RN will be responsible for coordinating patient care, managing resources, and ensuring high-quality patient outcomes. Key responsibilities include performing case management and collaborating with interdisciplinary healthcare teams. Candidates must hold a valid New York RN license and have a minimum of 2 years of experience in case management. This role offers competitive pay and comprehensive benefits.

Qualifications

• Minimum 2 years of experience in Case Management / Resource Management / Utilization Management.

Responsibilities

• Perform case management and resource management for assigned patients.
• Coordinate interdisciplinary care planning and discharge planning.
• Conduct utilization review to ensure appropriate level of care and services.
• Collaborate with healthcare teams to optimize patient outcomes.
• Monitor patient progress and adjust care plans as necessary.
• Ensure compliance with hospital policies and documentation standards.

Skills

Strong clinical assessment

Decision-making skills

Excellent communication

Interdisciplinary coordination

Education

Active New York State Registered Nurse (RN) License

AHA BLS (Basic Life Support) Certification

AHA ACLS (Advanced Cardiovascular Life Support) Certification

Job description

A healthcare organization is seeking an experienced Registered Nurse (RN) – Case Management for their New York location. The RN will be responsible for coordinating patient care, managing resources, and ensuring high-quality patient outcomes. Key responsibilities include performing case management and collaborating with interdisciplinary healthcare teams. Candidates must hold a valid New York RN license and have a minimum of 2 years of experience in case management. This role offers competitive pay and comprehensive benefits.