RN Care Manager White Plains NY
cTrace Solutions is actively recruiting experienced RN Care Manager for various roles within hospital facility in White Plains NY.
Perks & Benefits for the RN Care Manager :
- Competitive salary: $100 $140k DOE
- Day shift available: 9am 5pm
- Health insurance (medical dental etc.)
- Wellness programs
- Retirement programs
- Employee injury prevention program
- Employee virtual health
- Absence management (FMLA/disability)
Requirements of the RN Care Manager :
- BSN or related Bachelors degree required
- 5 years clinical ED critical care or med/surg experience required
- Previous case management experience preferred
- Experience in use of Milliman/InterQual criteria
- Registered Nurse (RN) NYS license required
Responsibilities of the RN Care Manager :
- Performs all transitional planning activities including but not limited to:
- Patient/caregiver education
- Arrangement of all aftercare
- Commercial payer involvement
- High utilizer patient root cause
- Communicates and collaborates all relevant patient information to appropriate health team members.
- Ensures department goals of LOS reduction readmission prevention denial reduction and satisfaction improvement are realized.
- Documents per department requirements.
- Participates in Performance Improvement activities as needed.
- Performs all UR activities per department policy:
- Commercial payer reviews
- Disposition determination
- Retro/selfaudit
- MC variance
- Admission clinical review.
- Performs all other related duties as assigned