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Job Requirements of RN Case Manager:
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Employment Type:
Contractor
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Location:
Brooklyn, NY (Onsite)
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RN Case Manager
Job Title: RN Case Manager
Location: Brooklyn, NY 11212
Duration: 01/12/2026 – 04/11/2026
Schedule: 5 days per week, 8 hours per day
Shift: Days (Mon–Fri, 8:00 AM – 4:00 PM; every other Saturday required, 8:00 AM – 4:00 PM)
Pay Range: $60-$65/hr.
Required Skills & Experience
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Minimum three (3) years of experience in direct patient care.
Education Requirements
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Bachelor’s Degree in Nursing (BSN) required.
Required Certifications & Licensure
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Current NY State RN License required.
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Basic Life Support (BLS) required.
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Advanced Cardiovascular Life Support (ACLS) required.
Preferred Certifications
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Pediatric Advanced Life Support (PALS) preferred.
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Case Manager Certification (CCM) preferred.
Job Summary
Coordinates and ensures delivery of care; collects utilization management and quality assessment data; regularly interacts with physicians to clarify plans of care; and reviews patients for high-risk criteria for discharge planning needs.
Responsibilities
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Monitors patients and determines needs for timely discharge.
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Confers with third-party payers within 24 hours past notification.
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Conducts initial case review no later than 72 hours after admission.
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Screens patients for high-risk criteria related to discharge planning needs.
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Develops discharge plans for uncomplicated cases.
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Makes referrals to Social Workers for assessment and discharge planning as indicated.
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Collaborates with members of the healthcare team to facilitate patient care progression.
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Ensures plans of care are developed expeditiously by the attending physician.
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Ensures plans of care are time-oriented with clearly defined objectives.
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Negotiates with physicians and healthcare practitioners to develop effective care plans as needed.
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Monitors duplication of tests and delays in diagnostics, treatment, or scheduling.
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Ensures documentation of patient progress toward identified clinical outcomes.
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Conducts concurrent reviews.
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Participates in performance improvement data collection.
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Reviews cases for continued stay appropriateness.
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Collaborates with physicians regarding care issues and refers to physician advisor if unresolved.
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Accurately documents review findings and provides clinical information to third-party payers.
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Performs retro reviews as requested by third-party payers.
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Maintains current knowledge of field developments through professional literature and education.
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Participates in in-service and continuing education programs.
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Maintains professional memberships and engages in ongoing learning activities.
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Promotes high levels of patient and staff satisfaction.
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Demonstrates courtesy, tact, and diplomacy with patients, staff, visitors, vendors, and regulatory agencies.
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Assists others in achieving goals or obtains appropriate assistance when needed.
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Performs other duties as assigned by management; may perform additional duties during emergencies.