Job Title: Registered Nurse (RN) – Case Manager
Location: Syracuse, NY
Position Overview:
"Navitas Healthcare, LLC" is seeking an experienced Registered Nurse Case Manager to coordinate patient care, support utilization management activities, and ensure appropriate level-of-care determinations. The ideal candidate will have strong clinical assessment skills, experience with hospital admissions and discharge planning, and knowledge of healthcare payer requirements and regulatory guidelines.
Key Responsibilities:
Coordinate and manage patient care throughout the continuum of care
Conduct clinical reviews and assess appropriate levels of care
Collaborate with physicians, nursing staff, patients, and families to develop care plans
Assist with utilization management and utilization review activities
Apply level-of-care screening criteria such as MCG or InterQual
Monitor patient progress and coordinate discharge planning
Interface with healthcare payers, insurance providers, and regulatory agencies
Ensure compliance with CMS regulations and hospital policies
Maintain accurate documentation using EPIC EMR
Advocate for patients while promoting efficient use of healthcare resources
Preferred Experience:
Utilization Management (UM) or Utilization Review (UR)
MCG or InterQual level-of-care criteria
CMS regulations related to hospital admissions
Working with healthcare payers and regulatory agencies
Case Management in an acute care setting
Requirements:
Active New York State RN License
Current BLS Certification
Minimum 1.5 years of recent acute care experience within the last 2 years
Experience in hospitals of similar or greater size preferred
EPIC EMR experience preferred
Strong communication, organizational, and critical thinking skills
Ability to work independently and collaboratively with interdisciplinary teams
Must pass background screening, drug screening, and health clearance requirements
For more details reach at sthakur@navitashealth.com
About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.