Job Title: RN – Case Manager / Utilization Review / Clinical Documentation Improvement (CDI)
Job Category: Nursing – Case Management
Location: Syracuse, New York
Shift: Days (Monday–Friday)
Schedule: 5 days per week, 8 hours per day
Seeking a Registered Nurse experienced in Case Management, Utilization Review, and Clinical Documentation Improvement (CDI) within an acute care hospital setting. Experience with EPIC EMR is required. Emergency Department Case Management experience is preferred.
Conduct utilization reviews to ensure appropriate levels of care and resource utilization.
Collaborate with physicians, nursing staff, social workers, and other healthcare professionals to coordinate and implement effective care plans.
Ensure accurate and complete documentation for clinical justifications and insurance requirements.
Facilitate timely discharge planning and transitions of care.
Review medical records for appropriate coding and clinical documentation.
Serve as a liaison between clinical teams and insurance providers to optimize patient outcomes and reimbursement.
Active and current New York State RN license.
BLS certification
EPIC EMR experience is required.