Case Management Nurse

City of New York•New York City, NY

5d•Onsite

About The Position

The Fire Department of the City of New York (FDNY) is seeking a full-time Case Management Nurse in the Bureau of Health Services. This role involves maintaining a comprehensive case management system for the Medical Qualification of Firefighter and EMS Candidates, Annual Medicals, and BHS Clinic for FDNY incumbents. The nurse will utilize clinical tools and data to assess patient needs, create individualized treatment plans, determine eligibility for service-connected coverage, and educate patients on benefits and resources. Communication with patients, physicians, and insurance companies is key to securing successful outcomes. The position requires documenting complex medical information in an electronic medical record (EMR), following case and quality management processes in compliance with regulatory guidelines, and accurately reviewing medical test results. The nurse will also select appropriate outside treatment vendors/providers, schedule appointments for members without direct supervision, and conduct telehealth visits for screening purposes, including for COVID-19. Additionally, the role involves performing IM, intradermal, and SC injections, as well as venipuncture, following best practices and departmental policies.

Requirements

A valid New York State license as a Registered Nurse.
Option 1: A baccalaureate degree in nursing from an accredited college, and three years of clinical nursing experience.
Option 2: An associate degree in nursing from an accredited college, and five years of clinical nursing experience.
Education and/or experience equivalent to Option 1 or 2.
Must have a valid New York State license as a Registered Nurse.

Nice To Haves

To be assigned to Assignment Level II, candidates must have, in addition to meeting the minimum qualification requirements listed above, at least one additional year of clinical nursing experience.

Responsibilities

Maintain a comprehensive case management system for the BHS for Medical Qualification of Firefighter and EMS Candidates, Annual Medicals and BHS Clinic for FDNY incumbents.
Use clinical tools, data and other information to complete assessments of patient needs.
Create individualized and comprehensive case management and treatment plans.
Determine service-connected coverage eligibility for various treatments and treatment programs.
Clearly explain the reason for prescribed treatments and treatment plans to patients.
Carry out adept nursing assessment of patient health status.
Educate patients on benefits, services and other resources.
Communicate with patients, physicians and insurance companies to secure successful outcomes.
Document complex medical information in our electronic medical record (EMR) to outline and improve health results and determination of eligibility of candidates.
Follow case and quality management processes in compliance with regulatory guidelines and company procedures.
Accurately review results from medical tests.
Select appropriate outside treatment vendors/providers according to members' needs/illness/injury.
Make appointments for member without direct supervision.
Make appointments with external vendors as needed to accurately evaluate member or candidates ability to safely perform job to which he/she has applied.
Conduct telehealth visits to screen members in accordance with current dpt policies and directives, i.e. with suspected and/or confirmed COVID19.
Perform IM, intradermal, and SC injections while following best practices.
Perform venipuncture when required, according to dpt policies and best evidence-based practice.