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Pride Health

Case Management Nurse

Pride Health, New York, New York, us, 10261

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Travel Nurse Recruiter: Sr. Healthcare Recruiter | US Recruitment Location:

Brooklyn, NY 11212

Shift:

Days, Monday–Friday 8:00 AM–4:00 PM;

every other Saturday required (8:00 AM–4:00 PM)

Base pay range $65.00/hr - $78.00/hr

Position Summary RN Case Manager responsible for coordinating inpatient care, utilization management, and discharge planning. The role focuses on concurrent review, high‑risk patient identification, collaboration with physicians and interdisciplinary teams, and communication with third‑party payers to ensure appropriate level of care and timely discharge.

Key Responsibilities

Perform concurrent utilization and continued‑stay reviews.

Identify high‑risk patients and develop discharge plans for uncomplicated cases.

Coordinate with physicians to establish and update time‑oriented plans of care.

Communicate clinical information to third‑party payers and complete retro reviews.

Monitor delays, duplication of services, and appropriateness of care.

Collaborate with social work and interdisciplinary teams to facilitate discharge.

Ensure accurate documentation and participation in quality and performance improvement activities.

Requirements

Active New York State RN license.

BSN required.

Minimum 3 years of direct patient care experience.

BLS and ACLS required.

Strong utilization review, discharge planning, and interdisciplinary collaboration skills.

Preferred

MSN.

CCM (Certified Case Manager).

PALS.

Benefits Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)‑retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.

Seniority level

Mid‑Senior level

Employment type

Contract

Job function

Other

Industries

Hospitals and Health Care

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