RN Care Manager
Location: Far Rockaway
Posted on: June 23, 2025
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Job Description:
Seeking an RN Care Manager to work needed at a medical center in
Queens, Monday-Friday 8a-4p including weekends and holidays.
Qualified applicants must have a valid NYS RN license, vast
understanding of insurance and payment systems, four (4) years of
acute Medical Surgical, Psychiatric, ED nursing and prior case
management experience. Summary: The RN Care Manager assesses,
develops, implements, coordinates and monitors a comprehensive plan
of care for each patient/family in collaboration with the
physician, social worker, nurse and all members of the
interdisciplinary team for the inpatient, Emergency Department and
all patient care areas. This position requires the ability to
combine clinical/quality considerations with
regulatory/financial/utilization review demands to assure patients
are receiving care in the appropriate setting and level of care.
The Care Manager must understand insurance and payment system
regulations and requirements as they serve as a resource to third
party providers. Requirements Minimum of 4 years recent acute
Medical Surgical, Psychiatric, ED nursing or prior case management
experience. Current N.Y.S. licensed Registered Nurse with BS, BSN
or equivalent. ACM or CCM REQUIRED. Patient Review Instrument (PRI)
certification is REQUIRED. Knowledge of payer eligibility and
reimbursement regulations and the impact on the continuum of care.
Knowledge of screening criteria i.e. Inter QUAL, MCG criteria.
Knowledge of discharge planning regulations and community resources
to coordinate safe discharges from the inpatient units and the ED
to outpatient settings. Excellent negotiation and
interpersonal/communication skills and the ability to work
effectively with others on the team to achieve desired outcomes.
Organizational time management skills as evidenced by capacity to
multitask and prioritize work. Ability to work in a collaborative
partnership model with Social Workers and other members of the
interdisciplinary team both internal and external. Join our team as
a Registered Nurse Manager where you will play a crucial role in
enhancing patient experiences while leading a dedicated team of
healthcare professionals. Your expertise will help shape the future
of our nursing practices and improve overall patient outcomes.
Keywords: , East Orange , RN Care Manager, Healthcare , Far Rockaway, New Jersey
