Case Manager - AOMC

Cayuga Medical Center; Town of Ithaca (NY); Presencial; USD 56.000 - 75.000; A tiempo parcial

Descripción de la vacante

Arnot Health in Ithaca, NY is seeking a Part-time Case Manager to oversee care for complex patients. The role collaborates with physicians, payers and interdisciplinary teams to ensure appropriate levels of care and efficient discharge planning.

Responsibilities include reviewing admissions for medical necessity, initiating individualized care plans, coordinating post-acute care and documenting compliance with InterQual criteria.

Formación

• Graduate of an approved registered nursing program with a current NYS RN license.
• BLS certification required within 90 days of hire.
• BSN or Case Management Certification preferred.
• Three to five years of clinical nursing in an acute care hospital setting.
• Experience in case management is preferred.

Responsabilidades

• Review admissions and continued stays for medical necessity and appropriate level of care using InterQual criteria and payer guidelines.
• Identify patients who would benefit from Case Management services and develop individualized care plans to support quality outcomes.
• Collaborate with physicians, patients, families, payers, and interdisciplinary care teams to coordinate services and facilitate care transitions.
• Manage discharge planning and post-acute care arrangements, including home health services and rehabilitation placements.
• Prepare and communicate Medicare and non-Medicare notices of non-coverage and maintain regulatory compliance.
• Monitor patient progression and promote timely discharge; track utilization metrics and patient satisfaction.
• Lead and participate in care coordination meetings and interdisciplinary rounds.

Conocimientos

RN license

BLS

Educación

Registered Nursing Program

Descripción del empleo

About Arnot HealthArnot Health offers patient-centered, comprehensive health services to the Southern Tier of New York and Northern Tier of Pennsylvania. Campuses include Arnot Ogden Medical Center and St. Joseph's Hospital in Elmira; Ira Davenport Memorial Hospital in Bath, NY; and over 40 medical offices in the Southern Tier. Arnot Health is currently affiliated with more than 300 physicians from 50+ specialties.Arnot Health is a member of Centralus Health, a community-based integrated delivery system. Our mission is to deliver high-quality care, empower our teams to succeed, and improve the wellbeing of the communities we serve.Our commitment to quality personalized care begins with our exceptional team—over 6500 employees strong. At Arnot Health, you will work in a collaborative environment that values excellence, integrity, compassion and stewardship. Together, we create an environment where empathy, honesty and a dedication to quality thrive, empowering us to make a positive impact on the lives we touch.We offer competitive wages, comprehensive benefits, and professional development opportunities to help our employees grow and thrive. Whether you are just starting your career or taking the next step in healthcare, we invite you to join us in shaping the future of care in our communities.Learn more at www.arnothealth.org .Case Manager The Case Manager coordinates and manages the care of complex patients, collaborating with interdisciplinary teams to ensure quality outcomes, effective resource utilization, and successful discharge planning. This role reviews patient care for utilization management, facilitates access to appropriate services, and supports continuous quality improvement while maintaining a caseload of approximately 15–25 patients.Roles and Responsibilities:Review patient admissions and continued stays for medical necessity and appropriate level of care using established InterQual criteria and payer guidelines.Identify patients who would benefit from Case Management services and develop individualized care plans to support quality outcomes and efficient resource utilization.Collaborate with physicians, patients, families, payers, and interdisciplinary care teams to coordinate services, resolve barriers, and facilitate effective care transitions.Manage discharge planning and post-acute care arrangements, including home health services, durable medical equipment (DME), rehabilitation placements, and community resources.Prepare and communicate Medicare and non-Medicare notices of non-coverage and maintain compliance with regulatory and payer requirements.Monitor patient progression throughout the continuum of care, addressing delays, reducing unnecessary length of stay, and promoting timely discharge.Track and analyze key utilization management metrics, including length of stay, readmissions, denials, resource utilization, and patient satisfaction outcomes.Lead and participate in care coordination meetings, daily interdisciplinary rounds, and complex case reviews to ensure optimal patient care and continuity of services.Required Skills and Experience:Graduate of an approved registered nursing program with a current license as a registered nurse or eligible in NYS.Basic Life Support (BLS) required within 90 days of hire date.Preferred Skills and Experience:BSN or Case Management CertificationThree to five years clinical nursing in acute care hospital settingCase management experiencePhysical Requirements:Must be able to remain at a workstation and move around the workspace as needed to complete job tasks, with or without reasonable accommodation.Location, Travel and Shift Requirements:Onsite-Arnot HealthPart timeDaysPay Range Disclosure:Standard Rate of $40.56-$54.55 per year hour benefitsCentralus and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all.We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics.If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Centralus Talent Acquisition team at [e-mail] .