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 (BHS). Reporting directly to the BHS Supervisor of Nurses, the nurse will maintain a comprehensive case management system supporting medical qualification of firefighter and EMS candidates, annual medicals, and the BHS clinic for FDNY incumbents. The position uses clinical tools, data, and other information to assess patient needs; develops individualized case management and treatment plans; determines eligibility for service-connected coverage; and explains prescribed treatments and plans to patients. The nurse assesses health status, educates patients about benefits, services, and resources, and communicates with patients, physicians, and insurance companies to support successful outcomes. The role also documents complex medical information in the electronic medical record (EMR), reviews medical test results, and follows case- and quality-management processes consistent with regulatory guidelines and department procedures. The nurse selects outside treatment vendors or providers based on members’ needs and can arrange appointments independently. The role includes arranging external evaluations of candidates’ ability to safely perform the jobs for which they have applied, conducting telehealth screening visits under current department policies and directives, and performing intramuscular, intradermal, and subcutaneous injections and venipuncture in accordance with department policies and evidence-based practice. The schedule is five days per week, with approximately one weekend every five weeks.

Requirements

Valid New York State Registered Nurse license.
Meet one of the following qualification pathways: 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. A valid New York State Registered Nurse license is required in all cases.
For Assignment Level II, at least one additional year of clinical nursing experience beyond the minimum qualification requirements.

Responsibilities

Maintain a comprehensive BHS 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 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 EMR to support health outcomes and eligibility determinations for candidates.
Follow case- and quality-management processes in compliance with regulatory guidelines and department procedures.
Accurately review medical test results.
Select appropriate outside treatment vendors or providers according to members’ needs, illnesses, or injuries, and make appointments independently.
Arrange external vendor appointments to evaluate candidates’ ability to safely perform the jobs for which they have applied.
Conduct telehealth visits to screen members in accordance with current department policies and directives.
Perform intramuscular, intradermal, and subcutaneous injections according to best practices.
Perform venipuncture when required, following department policies and evidence-based practice.