Case Management Nurse Job at Pride Health, Brooklyn, NY

TG5xSVRxMnJuLzRPN040OEk3d1lYMHZtT2c9PQ==
  • Pride Health
  • Brooklyn, NY

Job Description

RN Case Manager / Utilization Review (Inpatient)

Location: Brooklyn, NY 11212

Shift: Days, Monday–Friday 8:00 AM–4:00 PM; every other Saturday required (8:00 AM–4:00 PM)

Guaranteed Hours: 40/week

Contract Length: ~13 weeks

Position Summary:

RN Case Manager responsible for coordinating inpatient care, utilization management, and discharge planning. The role focuses on concurrent review, high-risk patient identification, collaboration with physicians and interdisciplinary teams, and communication with third-party payers to ensure appropriate level of care and timely discharge.

Key Responsibilities:

  • Perform concurrent utilization and continued-stay reviews
  • Identify high-risk patients and develop discharge plans for uncomplicated cases
  • Coordinate with physicians to establish and update time-oriented plans of care
  • Communicate clinical information to third-party payers and complete retro reviews
  • Monitor delays, duplication of services, and appropriateness of care
  • Collaborate with social work and interdisciplinary teams to facilitate discharge
  • Ensure accurate documentation and participation in quality and performance improvement activities

Requirements:

  • Active New York State RN license
  • BSN required
  • Minimum 3 years of direct patient care experience
  • BLS and ACLS required
  • Strong utilization review, discharge planning, and interdisciplinary collaboration skills

Preferred:

  • MSN
  • CCM (Certified Case Manager)
  • PALS

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.

Best Regards,

Tabish Ahmad

Job Tags

Contract work, Monday to Friday, Shift work,

Similar Jobs

HR Soul

Accounting Specialist Job at HR Soul

 ...operations. Supporting the General Manager, youll ensure financial accuracy, operational excellence, and compliance across all accounting, payroll, treasury, and administrative functions. Your work keeps the business informed, compliant, and able to move confidently... 

Confidential

Office Administrative Assistant Job at Confidential

 ...oriented, and a strong communicator, capable of handling multiple tasks simultaneously. Job Duties Administrative Support Assist with administrative duties such as creating Purchase Orders (POs) and managing office supplies and purchases (subject to approval).... 

Compunnel Inc.

Delivery Driver -- GOSDC5696488 Job at Compunnel Inc.

Job Summary: The Labs Operations D2 supports on-site drone delivery operations for Client Labs. This role does not involve flying drones but focuses on ground operations that make each delivery successful. Responsibilities include picking up food orders from local merchants...

BAI Capital

Copywriter / Project Coordinator (Aventura, FL) Job at BAI Capital

Location: Aventura, Florida Employment Type: Full-Time, On-Site Company Overview BAI Capital is a boutique real estate developer based in Miami, Florida, with over 16 years of experience. We specialize in raising, investing, and managing private equity for capital...

Textiles Coated International (TCI)

Geomembrane Sales Engineer Job at Textiles Coated International (TCI)

 ...with potential new customers; identifying and communicating with engineering/EPC firms who specify materials for containment applications,...  ...s Degree in Engineering ~ Hands-on experience with outbound sales techniques ~8 - 10 years of sales experience in the geomembrane...