Top 7 Rn case manager utilization Jobs in Orange County Ny

RN Case Manager - Utilization Management
Montefiore St. Luke's Cornwall —Newburgh, NY
- $112,480.87 - $127,155.60 a year
- Full-time
- Nursing
- RN License
- Hospital
7d
TOC Care Management Coordinator
HAMASPIK CHOICE INC —Spring Valley, NY
- $22 - $26 an hour
- Full-time
- Microsoft Word
- Mid-level
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
13d
Assisted Outpatient Treatment Case Manager (AOT)
Mental Health Association in Orange County, NY —Middletown, NY
- $23 an hour
- Full-time
- Microsoft Word
- Spanish
- Nursing
- 403(b) matching
- Paid holidays

More jobs to discover

Find similar jobs that you might be interested in.

TOC Care Management Coordinator
HAMASPIK CHOICE INC —Spring Valley, NY
Identify discrepancies, trends, or potential compliance risks and escalate issues to leadership promptly. Ensure all TRC components, including Notifications of…
$22 - $26 an hour
Quick Apply
13d
Transition of Care Partner
Sun River Health —Peekskill, NY
Identifies, refers, and maintains continuity of care for patients requiring high-risk care management, while collaborating with licensed clinical staff.
$23.00 - $25.24 an hour

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

RN Case Manager
Mount Carmel —Dublin, OH
Current license to practice as registered nurse in the State of Ohio. Advocates for patient legal, social, and ethical rights while balancing patient resources…
RN Case Manager
Sheakley —Columbus, OH
A current, unrestricted Ohio state licensure or certification in a health or human services discipline that allows the professional to conduct an assessment…
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for rn case manager utilization in orange county ny

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

rn case manager utilization jobs near orange county ny

Registered Nurse Case Manager jobs in Newburgh, NY

Registered Nurse jobs in Commack, NY

Registered Nurse Case Manager jobs in Tuba City, AZ

Registered Nurse Case Manager jobs in Davenport, FL

Registered Nurse Case Manager jobs in Eureka, CA

Case Manager jobs in Fort Collins, CO

Registered Nurse Case Manager jobs in River Falls, WI

Registered Nurse jobs in Milford, PA

Case Manager jobs in Bridgeport, CT

Wound Care Nurse Practitioner jobs in Chicago, IL

Care Coordinator jobs in Tempe, AZ

Permit Coordinator jobs in New Jersey

Part Time Child Care jobs in Nashville, TN

Care Coordinator jobs in Jackson, TN

Care Coordinator jobs in Staten Island, NY

Care Coordinator jobs in Pensacola, FL

Referral Coordinator jobs in New Jersey

RN Case Manager - Utilization Management

Montefiore St. Luke's Cornwall -
Newburgh, NY

Apply Now

Job Details

Full-time
$112,480.87 - $127,155.60 a year
7 days ago

Qualifications

Nursing
RN License
English
InterQual
Utilization management
Clinical information systems
Acute care experience
Nursing

Full Job Description

City/State:

Newburgh, New York

Department:

Case Management

Bargaining Unit:

Teamsters Local 445

Work Shift:

Day

Work Days:

DAYS VARY

Scheduled Hours:

Hours Vary

Scheduled Daily Hours:

Hours Vary

Pay Rate/Range:

$112,480.87 - $127,155.60

Sign-On Bonus:

N/A

The RN Case Manager Utilization Management is responsible for supporting the physician and interdisciplinary team in facilitating patient care, at the appropriate level of care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The individual in this position has primary responsibility for ensuring that care provided is at the appropriate level of care based on medical necessity. This position manages the medical necessity review process to ensure accurate and timely payment for services. This role integrates and coordinates utilization management by performing clinically based medical necessity reviews using standardized published criteria to certify medical necessity for admission and continued stay of all patients receiving care in the hospital. Progression of care is managed by using bench marked evidence-based criteria (i.e., InterQual).

Position Qualifications :
A. Education/Training : Graduate of NLN Accredited School of Nursing, BSN preferred. Ability to read, write, and communicate in English.

B. Experience : 3 years of experience as a Utilization Review/Utilization Management (UR/UM) Nurse or Nurse Case Manager with primary responsibility for UR/UM in an acute care setting required. Experience with EPIC EMR. Proficiency in applying InterQual guidelines for medical necessity. Familiarity with processes of critical payers such as Aetna, UHC, MVP, BCBS. Must have experience forming positive, collaborative relationships with hospital staff, providers, patients, and families. Must demonstrate critical thinking skills to find solutions to problems, work independently, manage stress, prioritize work, and maintain calm demeanor in stressful environment.

C. Licensure: Current New York State Licensure as a Registered Professional Nurse. Certification in Case Management required 18 months after eligibility. NYS PRI and Screen certification required within 3 months of hire/transfer.

Montefiore St. Luke's Cornwall is an equal employment opportunity employer. Montefiore St. Luke's Cornwall will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

Apply Now

Refine Your Search

rn case manager utilization jobs in orange county ny

RN Case Manager - Utilization Management

TOC Care Management Coordinator

Assisted Outpatient Treatment Case Manager (AOT)

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for rn case manager utilization in orange county ny

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected