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Pediatric RN Case Manager in New York, NY at Pride Health

Date Posted: 4/12/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    New York, NY
  • Experience:
    Not Specified
  • Date Posted:
    4/12/2019

Job Description



Job Description

A prestigious Manhattan hospital is seeking an experienced Pediatric Case Manager RN to join their hospital on a contract basis. The contract will last through the first week of March. Monday-Friday 9a-5p.

Travelers are welcome to apply!

Job Duties

  • Provide case management for a caseload of Pediatric patients.
  • Assess discharge planning needs at patient’s admission.
  • Perform regular concurrent review on all patients and coordinate all needed services including home care to facilitate safe and timely transition to the next level of care and to follow selected patients in the outpatient setting.
  • Act as part of a multidisciplinary team to provide continuity of care throughout various stages of treatment and followup.
  • Communicate with physicians and clinical nursing staff regarding ongoing patient care.
  • Interface with insurance carriers and the hospital billing departments to initiate appeals and obtain authorizations for treatment.
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Job Requirements

• Current NYS Registered Nurse License/Registration and BSN preferred

• 2 years of clinical Pediatric hospital experience

• Pediatric Case Management experience preferred

• Managed care/UR/CM experience strongly preferred

• Excellent interpersonal, problem solving and communication skills essential Strong decision-making and negotiation skills

• Knowledge of state and federal regulations that govern health insurance coverage

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