What are the responsibilities and job description for the Your New Assignment for RN Care Manager in White Plains, NY position at SAGE GROUP?
New Assignment Ready !
Key Responsibilities
Perform comprehensive initial and ongoing patient assessments.
Identify high-risk patients and evaluate discharge planning needs.
Coordinate multidisciplinary care across inpatient, emergency, surgical outpatient, and inter-hospital settings.
Develop transitional care plans, including patient and caregiver education and aftercare arrangements.
Collaborate with healthcare professionals, payers, and other stakeholders.
Perform utilization review activities, including admission reviews, payer reviews, disposition determinations, and retrospective audits.
Required Qualifications
Current New York RN license
BSN or MSN required
Clinical experience in one or more of the following:
Emergency Department
Critical Care
Medical-Surgical Nursing
Previous Case Management experience
Experience using Milliman or InterQual criteria
Strong computer skills
Preferred Qualifications
Approximately 3 years of relevant clinical experience
PRI Certification (must be obtained within 3 months of employment)
Screen Certification strongly preferred
Care Management certification, such as CMC or CCM
Knowledge of healthcare financial, regulatory, and payer issues
Familiarity with state, local, and federal healthcare programs
Salary : $64 - $81