Manager

Job Title: RN – Case Manager / Utilization Review / CDI

Location: Syracuse, NY
Duration: 13 Weeks
Shift Type: Day Shift (8 Hours/Day, Monday–Friday)
Total Hours per Week: 40

Job Summary

We are seeking an experienced Registered Nurse – Case Manager/Utilization Review/CDI for a 13-week contract position. The RN Case Manager will coordinate and monitor patient care services to ensure quality, cost-effective care, and appropriate utilization of resources. The role involves collaboration with the healthcare team to manage patient flow, support clinical documentation integrity (CDI), and promote optimal outcomes for patients within an acute care setting.

Key Responsibilities

• Perform case management and utilization review activities to ensure efficient and appropriate patient care.

• Evaluate patient progress, medical necessity, and readiness for discharge.

• Collaborate with physicians, nursing staff, and other departments to coordinate patient care and discharge planning.

• Conduct concurrent and retrospective reviews of patient medical records.

• Identify and resolve barriers to discharge and care transitions.

• Ensure compliance with hospital policies, payer guidelines, and regulatory standards.

• Utilize EPIC EMR for documentation, care coordination, and utilization tracking.

• Maintain accurate and timely documentation of all case management activities.

• Support Clinical Documentation Improvement (CDI) initiatives by working closely with physicians and coders.

• Participate in multidisciplinary rounds and case conferences.

• Maintain patient confidentiality and adhere to HIPAA regulations.

• Perform additional duties as assigned by leadership.

Required Qualifications

• Active RN License (New York State).

• BLS certification (current and maintainable).

• Minimum 1–2 years of recent acute care case management or utilization review experience (within the past 2 years).

• Experience working in a Level 1 or Level 2 trauma hospital preferred.

• EPIC EMR experience required.

• Excellent interpersonal, critical thinking, and communication skills.

• Ability to work independently and collaboratively within a multidisciplinary team.

• Must have legal authorization to work in the U.S. and successfully pass health clearance, background, and drug screening.

Preferred Qualifications

• Prior experience in Clinical Documentation Integrity (CDI) programs.

• Strong understanding of payer requirements, care coordination, and utilization management processes.

• Advanced knowledge of medical necessity criteria and discharge planning workflows.

Schedule Details

• Shift: 8-hour Day Shift

• Days per Week: 5

• Hours per Week: 40

• Assignment Length: 13 Weeks

For more details reach at [email protected]

About Navitas Healthcare, LLC 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.