RN Case Manager - Utilization Review

RN Case Manager / Utilization Review - Syracuse, NY (#25268)

Location: Acute Care/Academic Medical Center, Syracuse, NY
Employment Type: Full-time
Hourly Rate: $65/hour

Position Overview:

Optimize patient care transitions and resource utilization in a premier academic medical center. Lead utilization review, discharge planning, and interdisciplinary coordination for high-acuity patients while ensuring compliance with EPIC documentation standards.

Why Join Us?

• Competitive Compensation: $65/hour.
• Comprehensive Benefits: Sick leave.
• Work Schedule: Monday - Friday (8:00 AM - 4:30 PM (Day Shift).
• Professional Growth: Academic medical center exposure.

Qualifications:

• Education: ADN/BSN from an accredited program.
• Licensure: Current and active New York State Registered Nurse (RN) license is required.
• Certification: Basic Life Support (BLS) certification is required; candidates must hold a current certification or be willing to obtain recertification prior to employment.
• Experience:
  • Minimum of 1 year of recent experience (within the last 2 years) in an acute care hospital setting of similar size and complexity.
  • Proven experience in hospital case management within an acute care environment is essential.
  • Preferred: Previous experience in Emergency Department Case Management (ED CM) is highly desirable and will be considered a strong asset.
• Technical Skills: Proficiency in the EPIC Electronic Medical Records (EMR) system is required.

Key Responsibilities:

• Conduct utilization reviews for appropriate care level/coverage.
• Coordinate discharge planning and post-acute care transitions.
• Document care coordination in EPIC.
• Ensure compliance with payer guidelines and regulations.
• Collaborate with ED teams for rapid case management.
• Analyze resource utilization trends and recommend improvements.

We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming.At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team.We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.