Acute Care RN Care Manager – Case Management Leader

Catholic Health Services; Plainedge (NY); On-site; USD 74,000 - 105,000; Full time

Job summary

Catholic Health is seeking an RN Case Manager for inpatient acute care in New York. The role involves educating staff and families about case management, collaborating with physicians on optimal discharge planning, and coordinating with payors to avoid denials.

Ideal candidates have 3+ years in-patient RN experience across critical care, home care, or case management, with strong communication and organizational skills. BSN preferred; NY RN license required.

Qualifications

• Passion for Case Management.

Responsibilities

• Educate staff, physicians, patients, and families in the case management process.
• Review new admissions and continued stay patients to determine whether MCG criteria is met.
• Engage physicians to establish the optimal DRG, length of stay and expected date of discharge.
• Interface with third party payors to assist with the certification process and discharge planning to avoid denials.
• Review records and collaborate with the interdisciplinary team to obtain information about all aspects of the patients, transmitting information to third party payors.
• Participate in interdisciplinary rounding and identify areas for improvement.
• Facilitate communication between patients, families, and social work to ensure safe discharge plans.

Job description

Catholic Health is seeking an RN Case Manager for inpatient acute care in New York. The role involves educating staff and families about case management, collaborating with physicians on optimal discharge planning, and coordinating with payors to avoid denials.

Ideal candidates have 3+ years in-patient RN experience across critical care, home care, or case management, with strong communication and organizational skills. BSN preferred; NY RN license required.