CASE MANAGEMENT NURSE

City of New York•New York, 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 (BHS). Reporting directly to the BHS Supervisor of Nurses, the nurse maintains a comprehensive case management system for medical qualification of firefighter and EMS candidates, annual medicals, and the BHS clinic for FDNY incumbents. The role uses clinical tools, data, and other information to assess patient needs and create individualized, comprehensive case management and treatment plans. The nurse determines eligibility for service-connected coverage for treatments and treatment programs, explains prescribed care to patients, assesses health status, and educates patients about benefits, services, and resources. The nurse communicates with patients, physicians, and insurance companies to support successful outcomes, and documents complex medical information in the electronic medical record (EMR) to improve health outcomes and determine candidate eligibility. The position follows case and quality management processes in compliance with regulatory guidelines and department procedures, reviews medical test results, selects appropriate external treatment vendors or providers, and arranges appointments independently. The nurse also arranges external evaluations of members’ or candidates’ ability to safely perform their jobs, conducts telehealth screening visits in accordance with department policies and directives, and performs intramuscular, intradermal, and subcutaneous injections and venipuncture in accordance with department policies and evidence-based practices. The schedule is five days per week, with approximately one weekend every five weeks.

Requirements

Valid New York State Registered Nurse license.
One of the following qualification paths: 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. All candidates must hold a valid New York State Registered Nurse license.
For Assignment Level II, at least one additional year of clinical nursing experience beyond the minimum qualifications.
Ability to perform intramuscular, intradermal, and subcutaneous injections.
Ability to perform venipuncture when required.

Responsibilities

Maintain a comprehensive case management system for medical qualification of firefighter and EMS candidates, annual medicals, and the BHS clinic for FDNY incumbents.
Assess patient needs using clinical tools, data, and other information.
Create individualized and comprehensive case management and treatment plans.
Determine eligibility for service-connected coverage for treatments and treatment programs.
Explain the reasons for 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 support successful outcomes.
Document complex medical information in the electronic medical record to improve health outcomes and determine candidate eligibility.
Follow case and quality management processes in compliance with regulatory guidelines and department procedures.
Review medical test results accurately.
Select external treatment vendors or providers according to members’ needs and arrange appointments independently.
Arrange external evaluations of members’ or candidates’ ability to safely perform the jobs to which they have applied.
Conduct telehealth visits to screen members in accordance with current department policies and directives.
Perform intramuscular, intradermal, and subcutaneous injections using best practices.
Perform venipuncture when required, according to department policies and evidence-based practice.