Case Management Nurse

Company: Pride Health
Location: New York
Posted on: May 23, 2025

Job Description:

Title: RN Care ManagerLocation: Bronx, New YorkJob Type: 9 Weeks ContractShifts: Monday-Friday, 9:00 AM - 5:00 PMJob Summary:The RN Care Manager will play a key role in coordinating patient care through case management, utilization review, and resource planning. This non-clinical role is ideal for RNs passionate about improving patient outcomes, streamlining care delivery, and collaborating with interdisciplinary teams in a structured healthcare setting.Key Responsibilities:

• Manage patient care plans and ensure effective resource utilization.
• Collaborate with providers, payers, and care teams to optimize patient care outcomes.
• Conduct assessments and implement care management strategies based on clinical guidelines.
• Review cases for medical necessity and coordinate appropriate levels of care.
• Utilize the EPIC system to document and track patient progress.
• Support discharge planning and transitions of care.
• Adhere to regulatory and compliance standards in all aspects of case management.
• Participate in performance improvement initiatives and data tracking.Qualifications:
  • License: Active New York State RN License (Primary Source Verified)
  • Certification: AHA BLS required
  • Required: Minimum 2 years of case/resource management and utilization management experience
  • Preferred: 3-5 years of care management experience, with working knowledge of EPIC, PRI, and SCREEN tools
  • Skills: Strong assessment, communication, and organizational skills*Offered pay rate will be based on education, experience, and healthcare credentials.Interested? Apply now!Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.#GlobalDeliveryTravel

Keywords: Pride Health, Allentown , Case Management Nurse, Executive , New York, Pennsylvania