RN Case Manager: Discharge & Care Navigator

Mount Sinai; United States; On-site; USD 75,000 - 107,000; Full time

Job summary

The Mount Sinai Health System in the United States is seeking a Case Manager to coordinate inpatient care, determine admission appropriateness, and develop plans of care with the interdisciplinary team.

The CM will review admissions, support discharge planning, document in the medical record, and collaborate with physicians, social workers, and home care services to optimize length of stay and resource use.

Qualifications

• RN with active license and hospital case management exposure.
• 3–5 years' RN experience in acute care, homecare or long-term care preferred.
• CCM and PRI certifications preferred; re-credentialing may be required.

Responsibilities

• Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal patient outcomes and appropriate reimbursement for the organization.
• Performs continued stay reviews utilizing standardized criteria to justify continued inpatient stay.
• Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment and consultations.
• Documents all clinical reviews in Canopy.
• Supports the mission, vision, philosophy and goals of the Medical Center.

Skills

Utilization review

Discharge planning

Interdisciplinary collaboration

Patient care coordination

Education

Bachelor's Degree in Nursing

Masters preferred

CCM certification preferred

PRI Certification (to be obtained within 1 year)

Job description

The Mount Sinai Health System in the United States is seeking a Case Manager to coordinate inpatient care, determine admission appropriateness, and develop plans of care with the interdisciplinary team.

The CM will review admissions, support discharge planning, document in the medical record, and collaborate with physicians, social workers, and home care services to optimize length of stay and resource use.