RN Care Manager - Full Time (Days)

White-Plains-Hospital; City of White Plains (NY); Presencial; USD 88 000 - 112 000; Tempo integral

Resumo da oferta

White Plains Hospital Medical Center is seeking an RN Care Manager for day shift. You will perform initial comprehensive assessments, coordinate multidisciplinary care, and plan discharges with education and post-hospital care arrangements.

Requirements include BSN/MSN and NY RN license on hire; 1–3 years critical care/ED/med-surg experience preferred. PRI certification within 90 days is preferred; CCM/CMC certification is also favored.

Qualificações

• BSN or MSN required.
• 1-3 years clinical experience in ED, Critical Care, or Medical-Surgical nursing preferred.
• NY State Registered Nurse license required upon hire.
• PRI Certification within 90 Days preferred; CCM/CMC certification preferred.

Responsabilidades

• Perform initial comprehensive assessment on admission.
• Coordinate intra- and inter-hospital care, ensuring seamless transitions.
• Lead discharge planning including education, aftercare arrangements, and payer involvement.
• Participate in performance improvement activities and UR activities per policy.
• Document per department requirements and support LOS reduction and readmission prevention.

Conhecimentos

Clinical nursing

Communication

Care coordination

EMR literacy

Formação académica

BSN or MSN

NY RN license (on hire)

PRI Certification (PHTC)

CCM/CMC certification preferred

Descrição da oferta de emprego

City/State:White Plains, New YorkDepartment:Care Management_2Work Shift:DayWork Days:MON-FRI, ALTERNATING WEEKENDS AND HOLIDAYSScheduled Hours:9 AM-5 PMHours Per Pay Period:75Pay Rate/Range:$63.6719 - $81.0719For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.Job SummaryThe RN Care Manager performs the initial comprehensive assessment on admission in accordance with the Care Management Department policy, screening all patients by utilizing established tools for high risk indicators to ensure high risk patient populations receive the appropriate supportive services for discharge to prevent readmission and assess all populations for potential discharge planning needs. Provides ongoing reassessment of needs throughout the hospital course. Performs UR activity per department policy.Essential FunctionsUnderstands and adheres to the WPH Performance Standards, Policies and BehaviorsCompletes a comprehensive initial assessment.Performs all activities for multidisciplinary care coordination at the intra-hospital level of care and inter-hospital level of care.Performs all transitional planning activities including but not limited to: patient/caregiver education; arrangement of after care; commercial payer involvement; high utilizer patient root causeCommunicates and collaborates all relevant patient information to appropriate health team members.Ensures department goals of LOS reduction, readmission prevention, denial reduction, and satisfaction improvement are realized.Documents per department requirements.Participates in Performance Improvement activities as needed.Performs all UR activities per department policy: commercial payer reviews; disposition determination; retro/self audit; MC variance; admission clinical reviewThe RN Care Manager collaborates with all Health Care professionals to evaluate the needs and the safe discharge of all geriatric patients including but not limited to inpatients, emergency department and surgical outpatients.Performs all other related duties as assignedQualificationsBSN Required orMSN1-3 years 3 years Clinical experience-ED, Critical Care, or Medical Surgical nursing preferred Preferred1-3 years Previous Case Management experience preferred Preferred1-3 years Experience in the use of Milliman/InterQual criteria PreferredKnowledge of healthcare financial, regulatory, and payer issues preferred (Low proficiency)Knowledge of state, local, and federal programs strongly preferred (Low proficiency)Computer skills essential (Medium proficiency)Registered Nurse New York - New York State Board of Nursing Upon Hire RequiredPRI - Patient Review Instrument Cert - PHTC PRI Certification within 90 Days RequiredSCREEN - New York State Dept of Health PRI Screen Strongly preferred PreferredCCM - Certified Case Manager - Commission for Case Manager Certification A Care Management certification is preferred (i.e., CCM, CMC) CMC PreferredWhite Plains Hospital Medical Center is an equal employment opportunity employer. White Plains Hospital Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.