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.
Active and current New York State RN license .
BLS certification
EPIC EMR experience is required .
Are you a seasoned insurance professional with decades of experience looking for a fulfilling work-from-home opportunity? Do you want to... ...experience are highly valued and respected. Great Benefits: Access health insurance and a 401(k) with a 4% match. Friendly and...
We are a full service mens barber and grooming facility. S Mens Lounge is a new team oriented company which works on developing leadership in its members. We are currently looking for licensed barbers, stylists, and cosmetologists who are team players, professionally dedicated...
...more than 1 serious violation (e.g., reckless driving, DUI) in last 3 years No "leaving the scene" violations in last 5 yearsNo felony convictions in last 10 years Must pass DOT physical, drug test, and background check Demonstrated job stability: No more...
...Commercial Roofing Superintendent Admin - Kirkland, Washington We have provided quality roofing services to the Northwest since... ...Provide clear leadership and direction to roofing crews and subcontractors. Ensure they understand project requirements, details, and safety...
...Our School The International School of San Francisco is a PK-12 independent school in San Francisco. Founded in 1962, the school... ...School of San Francisco is seeking a dynamic experienced Assistant Principal for our Lower School to join our community, under the direct...