Pride Health
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This range is provided by Pride Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base Pay Range $60.00/hr - $76.00/hr
Direct message the job poster from Pride Health
Pay Rate: $60–$76/hr.
Job Summary We are seeking an experienced
RN Care Manager
to complete comprehensive patient assessments, coordinate multidisciplinary care, and manage all aspects of discharge planning. This role focuses on supporting high-risk patients, collaborating with healthcare teams, and performing Utilization Review activities to ensure quality outcomes and reduce readmissions.
Responsibilities
Perform comprehensive initial assessments and ongoing patient reassessments.
Coordinate care plans across all levels of care.
Manage all transitional planning, including aftercare arrangements and commercial payer communication.
Provide education to patients and caregivers.
Identify needs of high-utilizer patients and address root causes.
Collaborate with healthcare teams and maintain clear communication.
Support departmental goals: LOS reduction, readmission prevention, and denial reduction.
Complete all required documentation accurately.
Conduct Utilization Review activities such as clinical reviews, disposition determinations, and retro audits.
Assess and coordinate safe discharges for geriatric and diverse patient populations.
Participate in quality and performance improvement initiatives.
Requirements
BSN required
Active NYS RN License required
PRI Certification
(or willingness to obtain within 3 months)
Screen Certification preferred
Care Management certifications (CMC, CCM) preferred
3+ years of ED, critical care, or med-surg experience preferred
Familiarity with Milliman/InterQual criteria strongly preferred
Strong computer and documentation skills
Apply Now If you are a dedicated RN seeking a flexible per-diem role with strong support and competitive pay,
we’d love to speak with you!
Submit your resume today to be considered immediately.
Seniority Level Mid-Senior level
Employment Type Full-time
Job Function Health Care Provider
Industries Staffing and Recruiting and Hospitals and Health Care
Benefits
Medical insurance
Vision insurance
401(k)
Disability insurance
#J-18808-Ljbffr
Get AI-powered advice on this job and more exclusive features.
This range is provided by Pride Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base Pay Range $60.00/hr - $76.00/hr
Direct message the job poster from Pride Health
Pay Rate: $60–$76/hr.
Job Summary We are seeking an experienced
RN Care Manager
to complete comprehensive patient assessments, coordinate multidisciplinary care, and manage all aspects of discharge planning. This role focuses on supporting high-risk patients, collaborating with healthcare teams, and performing Utilization Review activities to ensure quality outcomes and reduce readmissions.
Responsibilities
Perform comprehensive initial assessments and ongoing patient reassessments.
Coordinate care plans across all levels of care.
Manage all transitional planning, including aftercare arrangements and commercial payer communication.
Provide education to patients and caregivers.
Identify needs of high-utilizer patients and address root causes.
Collaborate with healthcare teams and maintain clear communication.
Support departmental goals: LOS reduction, readmission prevention, and denial reduction.
Complete all required documentation accurately.
Conduct Utilization Review activities such as clinical reviews, disposition determinations, and retro audits.
Assess and coordinate safe discharges for geriatric and diverse patient populations.
Participate in quality and performance improvement initiatives.
Requirements
BSN required
Active NYS RN License required
PRI Certification
(or willingness to obtain within 3 months)
Screen Certification preferred
Care Management certifications (CMC, CCM) preferred
3+ years of ED, critical care, or med-surg experience preferred
Familiarity with Milliman/InterQual criteria strongly preferred
Strong computer and documentation skills
Apply Now If you are a dedicated RN seeking a flexible per-diem role with strong support and competitive pay,
we’d love to speak with you!
Submit your resume today to be considered immediately.
Seniority Level Mid-Senior level
Employment Type Full-time
Job Function Health Care Provider
Industries Staffing and Recruiting and Hospitals and Health Care
Benefits
Medical insurance
Vision insurance
401(k)
Disability insurance
#J-18808-Ljbffr