RN Care Manager

Job Overview Seeking an RN Care Manager to work needed at a medical center in Queens, Monday-Friday 8a-4p including weekends and holidays. Qualified applicants must have a valid NYS RN license, vast understanding of insurance and payment systems, four (4) years of acute Medical Surgical, Psychiatric, ED nursing and prior case management experience. Summary: The RN Care Manager assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker, nurse and all members of the interdisciplinary team for the inpatient, Emergency Department and all patient care areas. This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the appropriate setting and level of care. The Care Manager must understand insurance and payment system regulations and requirements as they serve as a resource to third party providers. Requirements Minimum of 4 years recent acute Medical Surgical, Psychiatric, ED nursing or prior case management experience. Current N.Y.S. licensed Registered Nurse with BS, BSN or equivalent. ACM or CCMREQUIRED . Patient Review Instrument (PRI) certification is REQUIRED. Knowledge of payer eligibility and reimbursement regulations and the impact on the continuum of care. Knowledge of screening criteria i.e. Inter QUAL, MCG criteria. Knowledge of discharge planning regulations and community resources to coordinate safe discharges from the inpatient units and the ED to outpatient settings. Excellent negotiation and interpersonal/communication skills and the ability to work effectively with others on the team to achieve desired outcomes. Organizational time management skills as evidenced by capacity to multitask and prioritize work. Ability to work in a collaborative partnership model with Social Workers and other members of the interdisciplinary team both internal and external. Join our team as a Registered Nurse Manager where you will play a crucial role in enhancing patient experiences while leading a dedicated team of healthcare professionals. Your expertise will help shape the future of our nursing practices and improve overall patient outcomes. Job Types: Full-time, Contract Pay: $48.00 - $68.00 per hour Benefits:Experience, qualification, and soft skills, have you got everything required to succeed in this opportunity Find out below.401(k) Dental insurance Health insurance Life insurance Paid sick time Referral program Vision insuranceSchedule:8 hour shift Day shift Monday to FridayExperience:Case management: 4 years (Required) care management: 4 years (Required) Nurse management: 4 years (Required)License/Certification:RN License (Required)Ability to Commute:Far Rockaway, NY 11691 (Required)Work Location: In person

Created: 2025-06-07