Case Manager RN Bilingual Specialist

2 days ago


White Plains, New York, United States ATC White Plains Full time
Job Summary

The RN Care Manager is responsible for performing comprehensive assessments on admission, screening patients for high-risk indicators, and ensuring high-risk patient populations receive appropriate supportive services for discharge to prevent readmission. The RN Care Manager will also provide ongoing reassessment of needs throughout the hospital course and perform UR activities per department policy.

Key Responsibilities
  • Completes comprehensive initial assessments and ongoing reassessments of patient needs
  • Performs UR activities per department policy, including commercial payer reviews, disposition determination, retro/self-audit, MC variance, and admission clinical review
  • Communicates and collaborates with relevant health team members to ensure seamless care coordination
  • Ensures department goals of LOS reduction, readmission prevention, denial reduction, and satisfaction improvement are realized
  • Documents per department requirements and participates in Performance Improvement activities as needed
Requirements
  • BSN or related Bachelor's degree required
  • 5 years clinical ED, critical care, or med/surg experience required
  • Previous case management experience preferred
  • Knowledge of healthcare financial, regulatory, and payer issues preferred
  • Knowledge of state, local, and federal programs strongly preferred
  • Experience in use of Milliman/InterQual criteria
  • Registered Nurse (RN) NYS license required
  • PRI/Screen certification strongly preferred
  • C.C.M. (Certified Case Manager) certification preferred
  • Computer skills essential
Work Environment

The RN Care Manager will work in a fast-paced hospital environment, interacting with patients, families, and healthcare teams. The ideal candidate will be able to work effectively in a team environment, communicate clearly and concisely, and prioritize tasks to meet deadlines.

Salary Range

$101,821 - $140,431

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.



  • White Plains, New York, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse RN Case Manager to join our team.About the JobWe are looking for a dedicated and experienced Registered Nurse to work as a Case Manager in a travel nursing position. The ideal candidate will have a strong background in case management and be able to...


  • White Plains, New York, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse RN Case Manager to join our team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 8 weeks40 hours per weekShift: 10 hours, daysEmployment Type: TravelWe are looking for a dedicated Case Manager-Registered Nurse to work...


  • White Plains, New York, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN Case Manager to join their team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelShift: 10 hours, daysDuration: 8 weeks40 hours per weekWe are looking for a dedicated Case Manager-Registered Nurse to work...


  • White Plains, New York, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job in White Plains, New York.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNContract Type: TravelShift: 10 hours, daysHours per Week: 40Duration: 8 weeksWe are seeking a Case Manager-Registered Nurse for an assignment in White Plains New...


  • White Plains, New York, United States TotalMed Case Management Staffing Full time

    Job Description & RequirementsTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a challenging opportunity in the healthcare industry.Specialty: Case ManagementDiscipline: RNDuration: 8 weeks40 hours per weekShift: 10 hours, daysEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team in...


  • White Plains, New York, United States TotalMed Case Management Staffing Full time

    Travel Nurse Case Manager OpportunityTotalMed Case Management Staffing is seeking a skilled travel nurse case manager to join our team in White Plains, New York.Job DetailsSpecialty: Case ManagementDiscipline: RNStart Date: ASAPDuration: 8 weeksShift: 10 hours, daysEmployment Type: TravelWe are looking for a dedicated and experienced case manager to work...


  • White Plains, New York, United States White Plains Hospital Medical Center Full time

    White Plains Hospital Medical Center is seeking a skilled RN to fill a contract position in Case Management. The ideal candidate will possess a current state license as a RN and have at least 2 years of recent experience as a Case Management RN. This is a 6a-4p position, with a focus on Utilization Review. The successful candidate will be responsible for...


  • White Plains, New York, United States Assured Nursing Full time

    Assured Nursing is seeking a skilled travel nurse RN to join their team as a Case Management specialist.Job Details:Specialty: Case ManagementDiscipline: RNDuration: 8 weeksShift: 10 hours, daysEmployment Type: TravelResponsibilities:Provide case management services to patientsDevelop and implement care plansCollaborate with healthcare teamsEnsure patient...

  • RN Case Manager

    2 days ago


    White Plains, New York, United States Travel Nurse Across America Full time

    Job Title: RN Case ManagerWe are seeking a skilled RN Case Manager to join our team at Travel Nurse Across America. As a RN Case Manager, you will play a critical role in advocating for patients, evaluating their needs, and developing comprehensive care plans to ensure optimal outcomes.Key Responsibilities:Evaluate and assess new patients to identify their...

  • Case Manager RN

    2 days ago


    White Plains, New York, United States Aureus Group Full time

    Case Manager Job OpportunityAureus Medical Group is seeking a skilled Case Manager RN to join our team for a travel assignment in New York. As a Case Manager, you will be responsible for coordinating patient care and ensuring seamless transitions between healthcare settings.Key Responsibilities:Coordinate patient care and develop individualized...

  • RN Case Manager

    3 weeks ago


    White Plains, New York, United States Thinksoft Technologies LLC Full time

    Job Title: RN Case ManagerWe are seeking a highly skilled RN Case Manager to join our team at Thinksoft Technologies LLC. As a RN Case Manager, you will play a critical role in ensuring the delivery of high-quality patient care and services.Key Responsibilities:Develop and implement individualized care plans for patients with complex medical...

  • RN Case Manager

    3 days ago


    White Plains, New York, United States Travel Nurse Across America Full time

    Travel Nurse Case Manager Job DescriptionWe are seeking a skilled Travel Nurse Case Manager to join our team at Travel Nurse Across America. As a Travel Nurse Case Manager, you will work with a highly skilled team of professionals to advocate for patients, evaluate, plan, provide resources, and facilitate communication with family members.Key...

  • RN Case Manager

    1 month ago


    White Plains, New York, United States ATC White Plains Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at ATC White Plains. As a RN Case Manager, you will play a critical role in ensuring the highest quality care for our patients by coordinating their care and services.Key ResponsibilitiesConduct comprehensive initial assessments to identify patient needs and develop individualized care...

  • RN Case Manager

    4 weeks ago


    White Plains, New York, United States Intellisoft Technologies Full time

    Job SummaryThe RN Care Manager is responsible for performing comprehensive assessments on admission, screening patients for high-risk indicators, and providing ongoing reassessment of needs throughout the hospital course. This role requires strong communication and collaboration skills, as well as the ability to analyze multidimensional problems and...


  • White Plains, New York, United States Host Healthcare Full time

    Job Title: Travel Nurse RN Case ManagerHost Healthcare is seeking a skilled Travel Nurse RN Case Manager to join our team. As a Travel Nurse RN Case Manager, you will be responsible for providing high-quality patient care and managing cases in a fast-paced healthcare environment.Job Summary:We are looking for a dedicated and compassionate Travel Nurse RN...


  • White Plains, New York, United States ADEX Healthcare Staffing LLC Full time

    Job Title: Travel Nurse RN Case ManagementADEX Healthcare Staffing LLC is seeking a skilled travel nurse RN case manager to join their team in White Plains, New York.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks38 hours per weekShift: 12 hours, daysEmployment Type: TravelAs a travel nurse RN case manager, you will...

  • RN Case Manager

    2 weeks ago


    White Plains, New York, United States Synkriom Full time

    Job OverviewAs a skilled RN Case Manager at Synkriom, you will play a vital role in ensuring the delivery of quality services in accordance with established hospital, departmental, and regulatory/accreditation agency standards.Responsibilities include managing the overall operations of your assigned department, including quality assurance and performance...


  • White Plains, New York, United States Host Healthcare Full time

    Job Title: Travel Nurse RN Case ManagerHost Healthcare is seeking a skilled Travel Nurse RN Case Manager to join our team. As a Travel Nurse RN Case Manager, you will be responsible for providing high-quality patient care and managing cases in a fast-paced healthcare environment.Job Summary:Provide patient care and manage cases in a travel nursing...


  • White Plains, New York, United States PlanetHealthcare Full time

    Job Title: Travel Nurse RN Case ManagerPlanet Healthcare is seeking a skilled Travel Nurse RN Case Manager to join our team. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and case management services to patients in White Plains, New York.Job Summary:We are looking for a dedicated and compassionate...


  • White Plains, New York, United States LanceSoft Full time

    Job Title: Travel Nurse RN Case ManagementLanceSoft is seeking a skilled Travel Nurse RN Case Management professional to join our team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelPerks: Registered Nurse (RN) NYS license requiredPRI Certification (PRI certification to be obtained within 3 months of initial...