RN Case Manager / Utilization Review
$135,200–$135,200 year
On-site · Syracuse, New York, United States
Job Summary
RN Case Manager leading utilization reviews, discharge planning, and interdisciplinary coordination for high-acuity patients in an academic medical center, ensuring EPIC documentation compliance and alignment with payer guidelines. Responsibilities include conducting utilization reviews for level of care/coverage, coordinating post-acute care transitions, documenting care coordination in EPIC, collaborating with ED teams, analyzing resource utilization trends, and driving care-management improvements. Requires NY RN licensure, ADN/BSN, BLS, pediatric experience, and 1.5+ years in acute hospital case management; schedule is Monday–Friday, day shift.
Required Qualifications
- Education: ADN/BSN from an accredited program
- Licensure: Current and active New York State Registered Nurse (RN) license
- Certification: Basic Life Support (BLS) certification
- Experience: Pediatric experience; minimum 1.5 years of recent acute care hospital experience; hospital case management experience essential
- Technical Skills: Proficiency with EPIC EMR system (preferred)
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