Registered Nurse Case Manager

Northwell Health; Village of New Hyde Park (NY); Presencial; USD 90 000 - 130 000; Tempo integral

Resumo da oferta

Northwell Health is seeking an experienced RN Case Manager to coordinate patient care from admission through discharge. You will work with the health care team to assess needs, plan care, and ensure appropriate utilization and discharge planning.

A BSN-appropriate education path is supported, and NY RN licensure is required with relevant certifications as needed. Five years of clinical RN experience is preferred.

Qualificações

• Graduate from an accredited School of Nursing.
• Licensed NY RN with current license; certifications as needed.
• Minimum of five years clinical experience as RN, preferred.

Responsabilidades

• Facilitates patient management throughout hospitalization.
• Performs concurrent utilization management using evidence-based criteria.
• Submits data to management regarding case management and/or quality initiatives.
• Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team.
• Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput.
• Conducts clinical reviews and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility.
• Ensures compliance with current state, federal, and third party payer regulations.
• Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient.
• Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments.
• Completes applicable areas of the patients discharge instruction sheet and the patient transfer sheet; ensures case management documentation is current and accurate.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Conhecimentos

Clinical nursing

Case management

Regulatory compliance

Formação académica

Bachelor's Degree in Nursing

BSN in progress within 2 years

Licensed RN in New York

Descrição da oferta de emprego

Job Description

Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient.

Job Responsibility

• Facilitates patient management throughout hospitalization.
• Performs concurrent utilization management using evidence based medical necessity criteria.
• Submits data to management regarding case management and/or quality initiatives.
• Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team.
• Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput.
• Conducts clinical reviews 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.
• Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient.
• Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments.
• Completes applicable areas of the patients discharge instruction sheet and the patient transfer sheet; ensures case management documentation is current and accurate.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date.
• Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
• Minimum of five years clinical experience as Registered Nurse, preferred

*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).