RN-Case Manager/Utilization Review/CDI - RCMU 25-23495 Job at NavitsPartners, Syracuse, NY

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  • NavitsPartners
  • Syracuse, NY

Job Description

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

Description:

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.

Job Responsibilities:
  • 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.

Required Qualifications:
  • Active and current New York State RN license .

  • BLS certification

  • EPIC EMR experience is required .

Job Tags

Shift work, Monday to Friday,

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