Case Management Nurse

City of New York•New York City, NY

4d•Onsite

About The Position

The Fire Department, City of New York (FDNY), seeks a full-time Case Management Nurse in the Bureau of Health Services. The successful candidate will 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. The candidate will 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, can successfully 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. Nurse is able to perform IM, intradermal, and SC injections while following best practices. Ability to perform venipuncture when required, according to dpt policies and best evidence-based practice. The Fire Department, City of New York (FDNY), seeks two full-time Case Management Nurse in the Bureau of Health Services, World Trade Center Program located at Staten Island. Reporting directly to the WTC Cancer Supervisor the successful candidate will: maintain a comprehensive case management system for the WTC Prostate Cancer Program in the FDNY WTC Medical Monitoring and Treatment Program for active and retired members of the FDNY. Responsible for case management, including but not limited to, screening appointments; tracking and receiving test results; entering results into EMR; perform utilization/concurrent review on all screening tests as well as on all inpatients; assessing discharge planning needs at admission. Coordinate all home care services; placement and transfers and facilitate a safe discharge plan. Provide outpatient assessment and management of a caseload of ambulatory patients, including follow-up of clients, collaboration with and accountability to physicians for health and medical status assessments of patients. Document all client encounters, including nursing summaries. Evaluate and document the progress of individual screening and subsequent diagnostic testing required as well as the progress of individual therapeutic programs and make modifications, as required. Confer with physicians in developing initial screening, diagnostic evaluations and initial treatment plans, report progress, and analyze changing symptoms and health trends. Coordinate initial assessments and ongoing reassessments of the clients functional status.

Requirements

A valid New York State license as a Registered Nurse
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
Education and/or experience equivalent to the above
Must have a valid New York State license as a Registered Nurse
At least one additional year of clinical nursing experience (for Assignment Level II)

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 members without direct supervision.
Make appointments with external vendors as needed to accurately evaluate member or candidates ability to safely perform job.
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.
Maintain a comprehensive case management system for the WTC Prostate Cancer Program in the FDNY WTC Medical Monitoring and Treatment Program for active and retired members of the FDNY.
Responsible for case management, including but not limited to, screening appointments; tracking and receiving test results; entering results into EMR; perform utilization/concurrent review on all screening tests as well as on all inpatients; assessing discharge planning needs at admission.
Coordinate all home care services; placement and transfers and facilitate a safe discharge plan.
Provide outpatient assessment and management of a caseload of ambulatory patients, including follow-up of clients, collaboration with and accountability to physicians for health and medical status assessments of patients.
Document all client encounters, including nursing summaries.
Evaluate and document the progress of individual screening and subsequent diagnostic testing required as well as the progress of individual therapeutic programs and make modifications, as required.
Confer with physicians in developing initial screening, diagnostic evaluations and initial treatment plans, report progress, and analyze changing symptoms and health trends.
Coordinate initial assessments and ongoing reassessments of the clients functional status.