Senior RN Case Manager - Care Coordination

SUNY Downstate Medical Center; New York (NY); Sur place; USD 110 000 - 124 000; Plein temps

Résumé du poste

SUNY Downstate Health Sciences University in Brooklyn, NY seeks a full-time TH Utilization Review Quality Assurance Senior Coordinator / RN Case Manager to coordinate hospital case management, utilization reviews and discharge planning. The role requires NY RN licensure, a nursing degree and PRI certification, with preferred healthcare-related graduate or CM certifications.

The position involves collaboration with social work and nursing teams, adherence to regulatory documentation and ensuring

Qualifications

• Current New York State Registered Nurse Licensure is required.
• Bachelor's Degree in Nursing is required.
• PRI Certification or Case Management Certification preferred.

Responsabilités

• Provide hospital case management, utilization review and discharge planning.
• Use Milliman Care Guidelines to justify level of care and medical necessity.
• Perform initial and ongoing clinical reviews for inpatient admissions.
• Promote interdisciplinary collaboration and coordinate post-hospitalization care.

Formation

Bachelor's Degree in Nursing

PRI Certification

Graduate Degree in Healthcare

Case Management Certification

Current New York State Registered Nurse Licensure

Description du poste

SUNY Downstate Health Sciences University in Brooklyn, NY seeks a full-time TH Utilization Review Quality Assurance Senior Coordinator / RN Case Manager to coordinate hospital case management, utilization reviews and discharge planning. The role requires NY RN licensure, a nursing degree and PRI certification, with preferred healthcare-related graduate or CM certifications.

The position involves collaboration with social work and nursing teams, adherence to regulatory documentation and ensuring