RN - Case Manager Nurse

Job Title: RN – Case Manager
Location: Brooklyn, NY 11213
Duration: 01/06/2026 – 04/04/2026
Schedule: Monday–Friday, 5 days per week, 8 hours per day, 40 hours per week
Shift: Day Shift
Pay Range: $75-$70/hr.

• Minimum of three (3) years’ experience in one or more of the following:

  • Acute Care

  • Medical–Surgical

  • Intensive Care

  • Emergency Department

  • Community Nursing (Home Care)

• PRI certified

• Strong clinical background with ability to assess physical, mental, and emotional barriers to self-care

• Knowledge of Milliman Care Guidelines

• Knowledge of CMS guidelines for post-acute placements

• Proficiency in EPIC documentation

• Experience reviewing admissions for medical necessity (severity of illness and intensity of service)

• Ability to collaborate with interdisciplinary care teams, physicians, and social work

• Knowledge of discharge planning, appeal process, and community resource coordination

• Bachelor’s degree in Nursing

• Current New York State RN License

• Basic Life Support (BLS)

• Advanced Cardiovascular Life Support (ACLS)

Preferred Certifications

• Pediatric Advanced Life Support (PALS)

• Case Manager Certification (CCM)

• Advocates for safe, timely execution of patient plans of care and adherence to medical necessity guidelines.

• Performs face-to-face patient assessments addressing physical, mental, and emotional barriers to care.

• Conducts daily EHR reviews to evaluate severity of illness and intensity of service.

• Collaborates with physicians, physician advisors, social workers, and interdisciplinary teams.

• Reviews HMO and inpatient admissions for medical necessity within required timeframes.

• Completes utilization reviews and clinical documentation for insurance submissions.

• Coordinates discharge planning, post-acute placements, and home care services.

• Documents all case management activities in EPIC and Careport.

• Serves as patient and family advocate to ensure access to appropriate community resources.