Inpatient Case Manager / Utilization Review - ICM 0619 LN#01
$71 per hourNavitasPartners
Job Description
Job Description
Job Title: Inpatient Case Manager / Utilization Review
Location: Bronx, NY (10451)
Duration: 13 Weeks
Schedule: Day Shift | 5x7 | 35 Hours per Week
Travelers: $71.00/hour (Combination of taxable wages and non-taxable stipend)
Local Candidates: $57.00/hour
Job SummaryWe are seeking an experienced Inpatient Case Manager / Utilization Review Nurse to support care coordination, utilization review, and discharge planning activities in an acute care setting. The ideal candidate will bring strong clinical expertise, excellent communication skills, and the ability to collaborate with multidisciplinary teams to ensure optimal patient outcomes and efficient resource utilization.
Key Responsibilities- Perform inpatient case management functions, including care coordination and discharge planning.
- Conduct utilization review to ensure appropriate level of care and compliance with payer requirements.
- Collaborate with physicians, nurses, and interdisciplinary teams to develop and implement patient care plans.
- Facilitate timely and safe discharge planning, including coordination with post-acute services.
- Ensure accurate and timely documentation in electronic medical records.
- Maintain compliance with hospital policies, regulatory requirements, and best practices.
- Communicate effectively with patients, families, and healthcare teams regarding care plans and discharge needs.
- Minimum five (5) years of clinical experience as a Registered Nurse.
- Bachelor’s Degree in Nursing from an accredited program.
- Active Registered Nurse (RN) license in the State of New York.
- Experience in Care Coordination, Utilization Review, and Discharge Planning.
- Computer proficiency and experience with electronic medical records.
- PRI and Screen certification (required at submission).
- Primary Source Verification of RN license through NYSED.
- Current BLS Certification.
- Leadership or supervisory experience.
- Case Management Certification (e.g., CCM or equivalent).
- This role is specific to inpatient (IP) settings and does not include emergency department (ED) responsibilities.
For more details reach at View email address on ziprecruiter.com or Call / Text at View phone number on ziprecruiter.com .
About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided, and your salary will be discussed upfront.
- Santa Barbara Cottage Hospital is seeking a Utilization Review Nurse to apply medical knowledge and guidelines for reviewing workers’ compensation cases. The role involves collaboration with physicians and claim handlers to determine appropriate treatment decisions. The...Suggested
- ...use of hospital resources by reviewing all patients admitted to... ...patient class assignment (inpatient, outpatient) to ensure compliance... ..., patient class, and utilization management-related work. Provides timely... ...problem-solving with complex cases, and help investigate cases...SuggestedLocal areaRemote workMonday to FridayShift workWeekend workDay shift
- Description RN/Case Manager (Inpatient)-Mount Sinai Morningside FT Days The Case Manager (CM) will... ...efficiency, quality and resource utilization. Assignment will be by units/clinical... ...responsibilities include, but are not limited to: Reviews all new admissions to identify...SuggestedHourly payTraineeship
- ...involves providing quality, cost-effective care by evaluating inpatient, outpatient, and specialty service requests. Candidates should... ...degree is preferred. The ideal candidate possesses knowledge of managed care regulations and excellent communication skills, and is licensed...Suggested
- ...and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding... ...need for and pre‑authorizing requests for inpatient, outpatient, specialty care, home care,... .../surgical nursing. Working knowledge of utilization management processes. Knowledge of Federal...Suggested
$83.85k
...research under one roof. CJA utilizes procedural justice practices to... ...these arrestees and subsequent case processing is maintained in... ...Reporting to the Clinical Supervisor ICM and under the direction of the... ...of QSR, the Clinical Case Manager II - Intensive Case Management...Work at officeWork from homeFlexible hoursNight shiftAfternoon shift- Summary The primary purpose of the Patient Flow Inpatient Case Manager Nurse Registered Nurse position is to demonstrate leadership in delivering... ...in the management of care through effective utilization of resources Establishes ongoing relationships with professional...Permanent employmentTemporary workImmediate startRemote workRelocation packageShift workNight shiftWeekend work
- A healthcare organization is seeking an experienced Registered Nurse (RN) - Case Management for their New York location. The RN will be responsible for coordinating patient care, managing resources, and ensuring high-quality patient outcomes. Key responsibilities include...
$125.4k - $200.7k
...journey of oncology patients? The MSK Case Management Department—comprised of Registered Nurses... ...discharge Perform regular concurrent reviews to ensure medical necessity and appropriate... ...of 2-3 years of Case Management, Utilization Review (UR), or Managed Care experience...Shift workWeekend work- Santa Barbara Cottage Hospital is seeking a qualified Registered Nurse to coordinate patient care and ensure quality services. The role requires effective communication with payers regarding medical necessities and monitoring patient resource use. The ideal candidate will...
- Methodist Rehabilitation Center is seeking an Experienced Case Manager to coordinate inpatient rehabilitation care at their Main Campus in Jackson, MS... ...meet patient/family needs, achieve economical service utilization, and plan for discharge care. Qualified candidates must...Day shift
- 1004 Lehigh Valley Hospital is seeking a Utilization Review Nurse to ensure appropriate use of hospital resources and compliance with payer requirements. The ideal candidate must possess a nursing diploma, two years of review experience, and knowledge of third-party payer...Remote jobMonday to FridayDay shift
- Within Health Provider Services is seeking a Senior Utilization Review Specialist to provide administrative support and management for our telehealth services. This remote role involves collaboration with insurance companies, oversight of the utilization review process...Remote job
$125.4k - $200.7k
...Exciting Opportunity at MSK: Are you passionate about using your Case Management experience to support Oncology Patients? The MSK Case... ...resolution after the appeal is filed. You will perform special chart reviews to support strategic planning initiatives, while working with...Monday to FridayShift work- ...RN Case Manager Job No: 497119 Department: Medical Care Review Local Title: RN Case Manager Budget Title... ...is seeking a full-time TH Utilization Review & Quality Assurance Senior... ...for admission to acute inpatient rehabilitation facility (IRF)...Full timeReliefWork at officeLocal areaMonday to Friday
- ...POSITION SUMMARY The Center of Excellence (COE) Case Manager is responsible for providing comprehensive... ...position includes client‑specific advocacy and/or review of utilization of services, including warm handoffs from inpatient, outpatient, and emergency. This position...Local areaImmediate startFlexible hoursAfternoon shift
- Case Manager Career Opportunity Full-Time Opportunity Available Recognized... ...a rapidly growing national inpatient rehabilitation leader. We... ...and department operations. Review/analyze case management... ...patient record Participate in utilization review process: data collection...Full timeContract workPart timeFlexible hours
- ...and provide, ongoing coordination and management of service delivery through an integrated case management approach Performs medical necessity review that includes concurrent,... ...timelines and quality standards related to Utilization Management Maintain and submit reports...Work at office
- ...NY is seeking a Clinical Care Manager responsible for coordinating... ...service delivery in an integrated case management approach. The... ...essential, alongside proficiency in Utilization Management criteria. This... ...conducting medical necessity reviews and maintaining compliance...
$2,386.4 per week
...Description Step into a travel healthcare contract built around inpatient (IP) support and care coordination work in Mott Haven, New... ...experience who enjoys organizing the flow of care through utilization review, care coordination, and discharge planning. You’ll help ensure...Contract workZero hours contractShift work- Inpatient Care Manager (RN)- Per-Diem, Days, Atlantic Health Chilton... ...ensures effective utilization and monitoring of healthcare... .... Perform daily chart reviews of Palliative care... ...Preferred 3 - 5 years of RN Case Manager palliative... ...Date 06/13/2026, 03:01 PM Locations 97 W Parkway...Hourly payDaily paidFull timeTemporary workPart timeFor contractorsFor subcontractorMonday to FridayFlexible hoursShift workDay shift
$3,495 - $4,015 per week
Clover Health Services is hiring a Certified Case Manager Registered Nurse (CCM RN) for a 13-week assignment in New York, NY. The position... ...week and requires strong skills in discharge planning and utilization review. Applicants must have at least 2 years of relevant...$2,900 per week
...Job Description Job Title: Care Manager – IP (Inpatient) RN Location: Bronx, NY 10451 Duration... ...Experience in Care Coordination, Utilization Review, and Discharge Planning Computer literacy... ...: Master's Degree in Nursing Case Management Certification...Full timeLocal areaMonday to Friday$68.98 per hour
Case Manager - Per Diem Position Summary At Stony Brook Medicine, a Care Manager provides clinical services to our patient... ...to our high standard of excellence. Duties Complete Utilization Review screens for inpatient and observation cases, ensuring guidelines are reviewed...Daily paidWork at officeDay shift$83.85k
...that is used for research on arrestee characteristics, case processing and court outcomes. Program Summary CJA operates... ...arrest monitoring. Position Summary The Clinical Case Manager II - Intensive Case Management (ICM) reports to the Clinical Supervisor ICM and the...Work at officeNight shiftWeekend workAfternoon shift$54.1k - $129.62k
...community at a time. Position Summary This Case Manager RN position is 100% remote and the... ...this position. The Case Manager RN utilizes a collaborative process of assessment,... ...health status and care coordination needs, inpatient review, and discharge planning, developing,...Hourly payFull timeTemporary workLive inLocal areaRemote workMonday to FridayFlexible hoursAfternoon shift- ...direction of the Associate Director of Case Management, identifies, screens, tracks,... ...care for client's disease state. Utilizes clinical skills to review and monitor utilization of health... ...while working in collaboration with inpatient care teams and other Central Health...Work experience placementLive in
$66.58k - $142.58k
...Integrated Care Management (ICM) Care Manager We're building a world of... ...dual eligible populations by utilizing best-in-class operating and clinical... ..., and coordinating all case management activities with... ...clinical tools and information/data review to conduct an evaluation of...Hourly payFull timeTemporary workMonday to FridayFlexible hours- ...of Position Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. Ensure... ...processes designed to manage inpatient utilization within the... ...Prepare and present clinical case summaries in routine inpatient...Remote jobWork experience placement
- ...do every day. The Care Manager, under the direction... ...simple and complex medical cases to achieve high-... ..., both outpatient and inpatient. The Care Manager will... ...certification, continued stay review, discharge planning,... ...MetroPlusHealth Utilization Management policies, procedures...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Inpatient Case Manager / Utilization Review - ICM 0619 LN#01. Be the first to apply!
- lead case manager New York, NY
- case manager supervisor New York, NY
- vocational case manager New York, NY
- rehab case manager New York, NY
- case manager behavioral health New York, NY
- case manager - criminal justice New York, NY
- social worker case manager New York, NY
- case manager remote New York, NY
- remote nurse case manager New York, NY
- developmental disabilities case manager New York, NY

