Care Manager ( Registered Nurse / RN )

Catholic Health • Bethpage, NY

33d • $60 - $64

About The Position

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence-based practice to improve outcomes – to every patient, every time.

Requirements

• Passion for Case Management
• 3+ Years of diverse in-patient acute care RN experience
• Excellent written and verbal communication skills. Highly organized and detail oriented with strong critical thinking ability. Ability to assess, evaluate, plan, and coordinate complex patient placement and discharge activities.
• Strong time management skills with the ability to manage competing priorities in a fast-paced acute care environment. Exhibits flexibility and adaptability in response to changing patient needs, discharge plans, payer requirements, and operational demands.
• Proficiency in Microsoft Office applications required. Ability to quickly learn and effectively navigate multiple electronic medical record systems, insurance portals, and care coordination platforms.
• Graduate of an accredited School of Nursing required
• New York Registered Nurse (RN) License & Registration

Nice To Haves

• Critical Care, Home Care, and/or Case Management experience preferred
• Progressive leadership experience preferred
• Knowledge of progression of care, medical necessity criteria, and post-acute authorization processes preferred.
• Bachelor of Science in Nursing (BSN) degree strongly preferred
• Case Management Certification preferred; PRI Certification preferred

Responsibilities

• Educate staff, physicians, patients, and families in the case management process.
• Review new admissions and continued stay patients to determine whether MCG criteria is met.
• Engage physicians to establish the optimal DRG, length of stay and expected date of discharge.
• Interface with representatives of third party payors to assist with the certification process and the discharge planning process, responding to requests for reviews in a timely fashion to avoid denials.
• Review records and collaborate with the interdisciplinary team to obtain information about all aspects of the patients, transmitting information to third party payors to avoid denials.
• Participate in interdisciplinary rounding and identify areas for improvement.
• Facilitate communication between patients, families, and social work to ensure safe and appropriate discharge plans.
• Collaborate effectively within an interdisciplinary team and engages patients and families with

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree