Registered Nurse (RN) – Case Manager RNCMST

Job Title: Registered Nurse (RN) Case Manager

Location: Syracuse NY

Position Overview:

Navitas Healthcare LLC isseeking an experienced Registered Nurse Case Manager to coordinate patient care support utilization management activities and ensure appropriate level-of-care determinations. The ideal candidate will have strong clinical assessment skills experience with hospital admissions and discharge planning and knowledge of healthcare payer requirements and regulatory guidelines.

Key Responsibilities:

• Coordinate and manage patient care throughout the continuum of care

• Conduct clinical reviews and assess appropriate levels of care

• Collaborate with physicians nursing staff patients and families to develop care plans

• Assist with utilization management and utilization review activities

• Apply level-of-care screening criteria such as MCG or InterQual

• Monitor patient progress and coordinate discharge planning

• Interface with healthcare payers insurance providers and regulatory agencies

• Ensure compliance with CMS regulations and hospital policies

• Maintain accurate documentation using EPIC EMR

• Advocate for patients while promoting efficient use of healthcare resources

Preferred Experience:

• Utilization Management (UM) or Utilization Review (UR)

• MCG or InterQual level-of-care criteria

• CMS regulations related to hospital admissions

• Working with healthcare payers and regulatory agencies

• Case Management in an acute care setting

Requirements:

• Active New York State RN License

• Current BLS Certification

• Minimum 1.5 years of recent acute care experience within the last 2 years

• Experience in hospitals of similar or greater size preferred

• EPIC EMR experience preferred

• Strong communication organizational and critical thinking skills

• Ability to work independently and collaboratively with interdisciplinary teams

• Must pass background screening drug screening and health clearance requirements

For more details reach at

About Navitas Healthcare LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.