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Case Manager, RN- Case Management/Princes Bay · $61 - $79/hr
How this role compares
Computed from live listings
+8% vs. median posted rate for physicians roles in New York ($55.80/hr, n=3543)
14 days median time this employer’s postings stay open (last 90 days)
$0.18/hr · lowesthighest · $42,250/hr
this role: $60.51/hrmedian $55.80/hr
Shaded band: the middle 50% of 3,543 posted physicians roles in New York rates. This role sits in the 56th percentile.
About the role
Pay for this role is about 8% above the New York median for physicians roles.
The Case Manager facilitates patient management throughout hospitalization by coordinating care, identifying resource utilization, and resolving potential delays. They serve as a liaison between the patient, family, and the healthcare team to ensure a safe and efficient discharge plan.
Job Description
Job Responsibility
1. Facilitates patient management throughout hospitalization.
Participates in patient management rounds and patient centered meetings.
Identifies potential delays and resolves issues with appropriate departments.
Identifies appropriate utilization of Social Work Services and makes referrals when appropriate.
Confers with physician regarding referrals for Physical Therapy, nutrition, speech and swallow. 2. Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team.
Serves as a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement issues.
Works with on-site screeners in transitioning patients to appropriate post discharge settings.
Collaborates with payers, providing all necessary clinical documentation for the maximization of benefits.
Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments.
Collaborates with and provides feedback to the primary care physician and multidisciplinary team regarding patient’s status with regard to length of stay, utilization of resources and discharge status. 3. Provides support to the in-patient health care team as well as to patient and family regarding all aspects of admission, hospitalization and discharge plan.
Involves patient and/or family in discussion and planning for anticipated need for care following discharge.
Ensures patient and/or family are given information regarding their choices regarding transferring the patient to another level of care according to regulatory standards. 4. Performs concurrent utilization management using Interqual criteria.
Conducts chart review for appropriateness of admission and continued length of stay.
Contacts and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course.
Ensures compliance with current state, federal, and third party payer regulations.
Identifies patients for Alternate Level Care (ALC) care list and notifies appropriate health team members.
Communicates with insurance companies and physicians regarding utilization issues.
Requirements
Candidates must hold a Bachelor’s Degree in Nursing and a current New York State Registered Professional Nurse license. At least one year of related experience in case management, utilization review, or discharge planning is required, along with Patient Review Instrument certification.
bachelor degree
professional certificate
Nursing
Care coordination
Patient education
Regulatory compliance
Discharge planning
Insurance verification
Patient advocacy
Patient assessment
Case management
Multidisciplinary collaboration
Resource utilization
Psychosocial assessment
Clinical documentation
Utilization management
Interqual criteria
Quality management
Posting details
Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$61 - $79/hr
Location
New York
Posted
Sep 9, 2026
Closes
Sep 23, 2026
Application
Employer website
Utilizes important message from Medicare (IMM) when appropriate.
Ensures managed care reviews are up to date and accurately reflect patient’s clinical progress and acute needs. 5. Participates in the quality management of patient care outcomes.
Submits data to management regarding case management and/or quality initiatives.
Participates in data collection regarding patient’s length of stay, utilization of clinical resources, IPRO citations including appropriate recommendations and re-admission within 30 days. 6. Initiates appropriate discharge planning as supported by initial assessment at time of admission.
Reviews patient's chart.
Assesses each patient physically, psychosocially and financially.
Assesses patient's support system to facilitate appropriate discharge to community.
Substantiates, with the physician, the need for home care services.
Coordinates procurement of any supplies, equipment or home lab work needed by patient to evaluate discharge.
Arranges for post-hospital transportation, when indicated.
Interacts and coordinates with community agencies, families, vendors facilities and institutions to facilitate patient discharge. 7. Documents the case management process in the medical record.
Completes and documents a psychosocial assessment on the patient.
Documents on-going processes of patients’ hospitalization.
Documents finalized discharge plan and disposition.
Completes applicable areas of the Patients Discharge Instruction Sheet and the Patient Transfer Sheet.
Ensures Patient Review Instrument (PRI) is completed and reflects clinical profile of the patient.
Ensures case management sheet is current and accurate. 8. Performs related duties, as required.
*ADA Essential Functions
Job Qualification
Bachelor’s Degree in Nursing, required.
Current license to practice as a Registered Professional Nurse in New York State.
Case Management Certification, preferred.
Minimum of one (1) year related experience, required. Experience in case management and clinical pathways, variance analysis and trending, quality management/utilization review and home care/discharge planning, preferred.
Keeps abreast of developments in the field and serves as a resource to other staff.
Additional site-specific qualification may apply.
*Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Job Responsibility
Job Qualification
Patient Review Instrument certification required.
*Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Market context
New York physician roles remain competitive
In New York, physician openings are often shaped by steady patient demand and the need for clinicians who can work within complex care settings. These roles are competitive because employers typically look for strong clinical credentials, relevant state licensure, and experience that matches the specialty. Review the AI-summarized requirements and benefits on this platform to quickly confirm fit, then verify the original posting for any details that affect your application.
