RN Inpatient Case Manager: Care Coordination Utilization
Chris Baily
Chris Baily is seeking an experienced Registered Nurse to join their team in New York. The role involves providing quality, cost-effective care by evaluating inpatient, outpatient, and specialty service requests. Candidates should have a minimum of three years of medical/surgical nursing experience and a bachelor's degree is preferred. The ideal candidate possesses knowledge of managed care regulations and excellent communication skills, and is licensed to practice as a registered nurse in New York. This position offers the chance to be part of a high-quality healthcare plan dedicated to meeting member needs. #J-18808-Ljbffr Chris Baily
- Memorial Sloan Kettering Cancer Center is seeking a Case Manager to coordinate care for Oncology patients. Responsibilities include clinical assessments, managing appeals with insurance, and ensuring continuity of care. Ideal candidates have a BSN and at least 2-3 years...Suggested
- Job Description RN/Case Manager (Inpatient)-Mount Sinai Morningside FT Days The... ...development of the plan of care; ensure that the plan is... ...efficiency, quality and resource utilization. Assignment will be by... .... Implementation and coordination of specific activities, strategies...SuggestedHourly payTraineeshipWeekend workWeekday work
- ...degree in nursing, a valid RN license, and 4-6 years of nursing... .... Responsibilities include coordinating care, communicating with providers, and preparing clinical case summaries. Preferred... ...qualifications include certification in utilization management and strong communication...Suggested
- ...and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples... ...for and pre‑authorizing requests for inpatient, outpatient, specialty care, home care,... ...surgical nursing. Working knowledge of utilization management processes. Knowledge of Federal...Suggested
$125.4k - $200.7k
...life. Our specialized care teams provide personalized... ...at MSK The MSK Case Management Department—comprised of... ...appropriate level of care, coordinating services to support... ...State Registered Nurse (RN) license/registration... ...of Case Management, Utilization Review (UR), or Managed...SuggestedShift workWeekend work- Mount Sinai Medical Center is seeking an RN/Case Manager for the inpatient team. The role involves managing case management for... ...collaborating with various departments to facilitate care transitions, and conducting utilization reviews. Candidates should have a Bachelor's...Hourly pay
- ...Morningside is seeking an experienced RN Case Manager for Case Management (ED) on... ...outcomes. The role involves coordinating UR activities, discharge planning, and the continuum of care, with a focus on efficiency, quality, and resource utilization. A NYS RN license and related...Night shift
- ...York seeks a full-time Utilization Review & Quality Assurance Senior Coordinator / Utilization Review... ...knowledge for patient care assessments and manage patient discharge planning... ...Nursing and NY State RN Licensure are required... ...+ years of acute care case management experience....Full time
- ...A health care organization is seeking a Case Manager RN to coordinate a multidisciplinary team, delivering holistic care to a diverse population. The ideal candidate will develop and implement care plans, ensuring members' health needs are met effectively. Required qualifications...Contract workRemote work
$65.81 per hour
...Mount Sinai Morningside is seeking an RN/Case Manager responsible for managing patient cases... ...least 3–5 years of experience in an acute-care setting. Key tasks include discharge... ...case management systems, and adherence to utilization review standards. A current NYS RN...Hourly pay- Origin Travel Nurses is looking for an Inpatient Case Manager for a 13-week contract position in New York. The role focuses on discharge planning and requires collaboration with a multidisciplinary team. Candidates should have at least one year of inpatient experience,...Contract work
- ...RN/Case Manager MSH Case Management FT Weekends/Weekdays/... ...appropriateness of the Level of Care, assist in the... ...quality and resource utilization. Assignment will be... ...to justify continued inpatient stay. c.... .... Implementation and coordination of specific activities...TraineeshipLocal areaWeekend workWeekday work
- Horizon Blue Cross Blue Shield of New Jersey is seeking an RN II, Primary Nurse Care (Case Manager) to manage a remote caseload focused on prevention, care coordination and transitions across the continuum of care. The role requires an active RN license in NJ or compact...Remote job
- Highmark Health is seeking a full-time RN Case Manager based in Wexford, PA. This role involves... ...creating, implementing, and evaluating care plans for patients and their families,... ...Responsibilities include assessing patients' needs, coordinating care, and advocating for patient-...Full time
- Arlo is seeking a Senior Case Manager to oversee the medical journeys of members, ensuring they receive corresponding care promptly. In this role, you'll utilize your clinical experience to identify members... ...The position requires an active RN license and at least 5 years of...
$100k - $110k
6AM City, LLC is looking for an experienced RN Case Manager to join their team in Midtown, Manhattan. This hybrid role involves working... ..., with office work from Tuesday to Thursday. The RN will coordinate care plans for community members, ensuring a collaborative relationship...Work at officeWork from homeMonday to Friday$130.16k - $160.16k
...to join our team as a Case Manager Infusion/ Amb Oncology... ...Manager is responsible to coordinate and ensure that the... ...plan of care and the discharge plan... ...stakeholders. The Case Manager utilizes an understanding of statistical... ...stay, level of inpatient care and discharge level...Work at officeShift work$125.4k - $200.7k
...ending cancer for life. Our specialized care teams provide personalized,... ...MSK: Are you passionate about using your Case Management experience to support Oncology Patients... ...concurrent review on all patients and coordinate all needed services including home care...Monday to FridayShift work- Horizon Blue Cross Blue Shield of New Jersey seeks a RN II for Primary Nurse Care (Case Manager) to work remotely from Hopewell, NJ. You will perform RN duties, develop member-centric care plans, and coordinate transitions across the continuum of care for high-risk members...Remote job
$2,386.4 per week
...Step into a travel healthcare contract built around inpatient (IP) support and care coordination work in Mott Haven, New York. This role is ideal for... ...experience who enjoys organizing the flow of care through utilization review, care coordination, and discharge planning....Contract workZero hours contractShift work- ...RN/Case Manager Mount Sinai Morningside Case Management (... ...an assigned group of inpatients to determine the appropriateness... ...of the plan of care; ensure that the plan... ...quality and resource utilization. Assignment will be... ...Implementation and coordination of specific activities...Full timeLocal areaShift workNight shiftAfternoon shift
$65.81 per hour
RN/Case Manager MSH Case Management FT Weekdays/Weekends/Holidays... ...of the level of care, assists in... ...quality, and resource utilization. Responsibilities Review... ...to justify continued inpatient stay. Collaborate with... ...family. Implement and coordinate activities,...Hourly payWeekend workWeekday work- Millennium Healthcare Management Serv LLC is seeking a full-time Case Manager to join their ACO team, preferably from the Tampa area. The role focuses on client-centered care and involves assessment, planning, and coordination to ensure the best patient experience. Candidates...Full time
- Santa Barbara Cottage Hospital is seeking a full-time Case Manager RN (U) to coordinate interdisciplinary care from admission to discharge. The role requires a Bachelor's Degree in a relevant field and a Registered Nurse license. Minimum 7 years of experience, including...Full time
$65.81 per hour
A healthcare organization in New York is seeking an RN/Case Manager to manage patient care effectively. This role involves assessing patient needs,... ...nursing license, preferably with experience in homecare or utilization review. The compensation rate is approximately $65.81...Hourly pay- ...Summary The Department of Case Management at SUNY Downstate... ...seeking a full‑time TH Utilization Review & Quality Assurance Senior Coordinator / Utilization Review Nurse... ...for admission to acute inpatient rehabilitation facility (IRF) per Milliman Care Guidelines (MCGs). Provide...Full timeReliefWork at officeMonday to Friday
- Highmark Inc. seeks a remote, full‑time Care Manager to coordinate comprehensive care for members across home, facility, and community settings. Frequent travel within Delaware is required as part of delivering in‑home services and conducting needs assessments. The role...Full timeRemote work
$130.16k - $160.16k
NYU Langone Hospitals in New York is seeking a Case Manager - RN to coordinate patient care plans and manage discharge processes. The ideal candidate will have at least five years of clinical experience, be a licensed RN in NYS, and possess strong leadership skills. Responsibilities...- Sentara Health is seeking an Integrated Case Manager, RN, to join their team. This remote position requires candidates to reside in Lynchburg... ...members, including conducting clinical assessments and coordinating care with healthcare teams. The ideal candidate must have a...Remote job
$83k - $89k
Santa Barbara Cottage Hospital is seeking an RN Case Manager to coordinate care for patients while working with multidisciplinary teams. The role requires a current RN license in Texas and at least three years of clinical nursing experience. Responsibilities include assessing...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Inpatient Case Manager: Care Coordination Utilization. Be the first to apply!

