Case Manager RN- on site position

Company: Bronxcare Hospital Center
Location: Bronx
Posted on: May 3, 2025

Job Description:

*Case Manager, Registered Nurse*In this role, the Case Manager, RN assists with services that help the patient gain access to needed medical, social, educational, and other services. This includes direct assistance in gaining access to services, coordination of care, oversight of the entire case, and linkage to appropriate services. Case Managers assess the patient in determine service needs; develop an individualized integrated care plan, refer and coordinate activities to help the patient obtain needed services and effective discharge planning.*Requirements:** NYS Registered Nurse license* BSN required* Minimum of 1-2 years of clinical experience in nursing; preferably in hospital case management.* Experience with InterQual and Milliman Care Guidelines.* Knowledge in DRGs and GMLOS* Managed Care and Regulatory Requirements preferred.* In addition, knowledge of regulatory guidelines governing hospitals. Medicare, Medicaid, Island Peer Review Organization (IPRO) and other Third Party criteria and standards as applicable.The employee will be a member of New York State Nurses Association (NYSNA) union.If you feel your background aligns with BronxCare Health System and our openings for qualified nurses, APPLY TODAY!Job Type: Full-timePay: From $112,572.00 per yearBenefits:* 401(k)* Dental insurance* Health insurance* Paid time off* Tuition reimbursement* Vision insuranceApplication Question(s):* Do you currently possess skills related to InterQual and Milliman Care Guidelines. Knowledge of DRGs and GMLOS?* Are you able to work on-site or in-person?Education:* Bachelor's (Required)Experience:* Nursing: 2 years (Required)Work Location: In personby Jobble

Keywords: Bronxcare Hospital Center, Trenton , Case Manager RN- on site position, Executive , Bronx, New Jersey