About Job

Malone Healthcare - Nursing is seeking a travel nurse RN Care Manager for a travel nursing job in White Plains, New York. Job Description & Requirements

Specialty: Care Manager
Discipline: RN
Duration: 13 weeks
40 hours per week
Shift: 8 hours, days
Employment Type: Travel

Job Title: RN Care Manager

Location: [Insert Facility Name, City, State]
Category: Healthcare - Nursing - RN
Specialty: Case Management
Department: Care Management
Schedule: [Insert if available]
Parking: Minimum $1.25/hour parking fee

Job Description:

The RN Care Manager is responsible for assessing, planning, and coordinating the care of patients from admission through discharge. This includes managing transitions of care, reducing unnecessary hospital stays, and ensuring appropriate discharge planning for high-risk patients. The RN Care Manager works closely with the interdisciplinary care team to promote quality outcomes and efficient resource use.

Key Responsibilities:

Complete comprehensive assessments for all patients on admission.
Screen for high-risk indicators and initiate appropriate discharge planning early.
Provide ongoing reassessment and care coordination throughout hospitalization.
Handle utilization review (UR) activities per policy (eg, clinical reviews, payer reviews, audits).
Lead transitional planning (eg, arranging aftercare, caregiver education, root cause analysis for frequent utilizers).
Communicate with patients, caregivers, and healthcare team members.
Ensure compliance with department goals for length of stay (LOS), readmission prevention , payer denials , and patient satisfaction .
Document per department standards.
Collaborate across departments to support discharge needs, especially for geriatric and complex patients .
Participate in quality improvement initiatives as needed.

Required Qualifications:

NYS Registered Nurse (RN) license - Required
PRI Certification - Must be obtained within 3 months of hire
Screen certification - Strongly preferred
Care Management certification (CMC, CCM, etc.) - Preferred
3 years of clinical experience in ED, Critical Care, or Med/Surg - Preferred
Prior Case Management experience - Preferred
Familiarity with healthcare regulations, payers, and discharge planning programs
Experience using Milliman or InterQual criteria
Strong computer and documentation skills essential

? Job Profile Explanation (Simple Terms):

The RN Care Manager is a registered nurse who helps plan a patient's entire hospital stay-from the moment they're admitted to the moment they go home or to another facility. Their main goal is to make sure patients get the care they need efficiently and are discharged safely with proper follow-up plans. They look out for patients at high risk of complications or readmission , and help coordinate services like home care, rehab, or follow-up appointments. They also work with insurance companies , do clinical reviews , and ensure the hospital follows all care guidelines.

This role is a mix of clinical knowledge , communication skills , and administrative work -ideal for nurses who enjoy both patient interaction and strategic coordination.

Required Qualifications: NYS Registered Nurse (RN) license - Required PRI Certification - Must be obtained within 3 months of hire Screen certification - Strongly preferred Care Management certification (CMC, CCM, etc.) - Preferred 3 years of clinical experience in ED, Critical Care, or Med/Surg - Preferred Prior Case Management experience - Preferred Familiarity with healthcare regulations, payers, and discharge planning programs Experience using Milliman or InterQual criteria Strong computer and documentation skills essential

About Malone Healthcare - Nursing

With a commitment to providing a higher standard of service and experience in patient care, Malone Healthcare places expert nurses and allied health professionals in rewarding careers throughout the United States. As a leading healthcare staffing agency, Malone's focus on compliance and integrity translates to a seamless experience for our team members and partner facilities. When you work with Malone Healthcare, you can rely on over 50 years of proven experience placing exceptional professionals in quality healthcare settings.

Benefits