Registered Nurse Case Manager

Northwell Health; Village of Port Jefferson (NY); On-site; USD 80,000 - 100,000; Full time

Job summary

A leading health organization is seeking a Registered Nurse Case Manager to serve as a liaison between patients and healthcare providers. This role ensures quality continuity of care during hospitalization and manages discharge processes, requiring strong clinical assessment skills and a nursing degree. Candidates should have a valid NY nursing license and 5 years of inpatient experience.

Qualifications

• Current License to practice as a Registered Professional Nurse in New York State required.
• 5 years inpatient experience preferred.
• Located in an accredited nursing program within two years.

Responsibilities

• Facilitates patient management throughout hospitalization.
• Assesses and plans patient care with health care team.
• Documents the case management process in the medical record.

Skills

Patient Management

Clinical Assessment

Regulatory Compliance

Education

Bachelor’s Degree in Nursing

Accredited School of Nursing Graduate

Job description

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Base pay range

$64.00/hr - $64.00/hr

153380

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.
• 5 years inpatient experience, preferred.
• PRI certification, preferred.
  
  

Schedule

Per Diem (variable, based on business needs) - shift hours include 8 AM - 4 PM. Must be available to pick up shifts Monday-Friday.

• 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).

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Contract

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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