Travel Nurse RN - Case Manager in White Plains, NY
Company: Cynet Health
Location: White Plains
Posted on: July 13, 2025
|
|
Job Description:
Shift: Mon - Fri 9-5 Description: The RN Care Manager performs
comprehensive initial assessments on admission in line with Care
Management Department policy. They screen all patients using
established tools for high-risk indicators (e.g., AIMS, Geisinger,
polypharmacy) to ensure that high-risk populations receive the
necessary supportive services for discharge, preventing
readmission. The RN Care Manager also evaluates all patient
populations for discharge planning needs and provides ongoing
reassessment throughout the hospital stay. They perform Utilization
Review (UR) activities per department policy. Essential Functions
and Responsibilities Include the Following: Understands and adheres
to client Performance Standards, Policies, and Behaviors. Completes
a comprehensive initial assessment on admission. Performs
multidisciplinary care coordination at both intra-hospital and
inter-hospital levels of care. Conducts all transitional planning
activities, education. Arrangement of all aftercare services.
Commercial payer involvement. Root cause analysis for high utilizer
patients. Communicates and collaborates relevant patient
information with appropriate healthcare team members. Works to
achieve department goals of Stay (LOS) reduction. Readmission
prevention. Denial reduction. Improvement in patient satisfaction.
Documents patient care and activities according to department
requirements. Participates in Performance Improvement activities as
needed. Conducts UR activities per department policy, payer
reviews. Disposition determination. Retrospective/self-audits. MC
variance. Admission clinical review. Performs other related duties
as assigned. Education & Experience Requirements: BSN or related
Bachelor’s degree required. 5 years of clinical experience in ED,
critical care, or medical/surgical settings required. Previous case
management experience is preferred. Knowledge of healthcare
financial, regulatory, and payer issues is preferred. Familiarity
with state, local, and federal programs is strongly preferred.
Experience with Milliman/InterQual criteria is required. Registered
Nurse (RN) NYS license required. PRI/Screen certification is
strongly preferred. C.C.M. (Certified Case Manager) certification
preferred. Computer proficiency is essential.
Keywords: Cynet Health, New Britain , Travel Nurse RN - Case Manager in White Plains, NY, Healthcare , White Plains, Connecticut