Case Management Nurse

City of New York•New York City, NY

About The Position

The Fire Department of the City of New York (FDNY) seeks a full-time Case Management Nurse in the Bureau of Health Services. Reporting directly to the BHS Supervisor of Nurses, the successful candidate will maintain a comprehensive case management system for medical qualification of firefighter and EMS candidates, annual medicals, and the BHS clinic for FDNY incumbents. The nurse will assess patient needs using clinical tools, data, and other information; create individualized case management and treatment plans; determine eligibility for service-connected treatment coverage; explain prescribed treatments and plans; assess patients’ health status; and educate patients about benefits, services, and resources. The role also involves coordinating with patients, physicians, insurance companies, and outside treatment providers; documenting complex medical information in the electronic medical record; following case and quality management processes; reviewing medical test results; arranging appointments and evaluations; conducting telehealth screening visits; and administering injections and performing venipuncture in accordance with department policies and best practices. The schedule is five days per week, with approximately one weekend every five weeks.

Requirements

A valid New York State license as a Registered Nurse.
One of the following: a baccalaureate degree in nursing from an accredited college and three years of clinical nursing experience; an associate degree in nursing from an accredited college and five years of clinical nursing experience; or equivalent education and/or experience.
For Assignment Level II, at least one additional year of clinical nursing experience beyond the minimum qualifications.

Responsibilities

Maintain a comprehensive case management system for medical qualification of firefighter and EMS candidates, annual medicals, and the BHS clinic for FDNY incumbents.
Use clinical tools, data, and other information to assess patient needs.
Create individualized and comprehensive case management and treatment plans.
Determine eligibility for service-connected coverage for treatments and treatment programs.
Explain prescribed treatments and treatment plans to patients.
Assess patients’ health status and educate them about benefits, services, and other resources.
Communicate with patients, physicians, and insurance companies to secure successful outcomes.
Document complex medical information in the electronic medical record to support health outcomes and eligibility determinations.
Follow case and quality management processes in compliance with regulatory guidelines and department procedures.
Review medical test results accurately.
Select appropriate external treatment vendors or providers based on members’ needs, illnesses, or injuries, and arrange appointments independently.
Arrange appointments with external vendors to evaluate candidates’ ability to safely perform the job for which they applied.
Conduct telehealth visits to screen members in accordance with current department policies and directives, including for suspected or confirmed COVID-19.
Administer intramuscular, intradermal, and subcutaneous injections according to best practices.
Perform venipuncture when required, in accordance with department policies and evidence-based practice.