Case Manager , RN (FH)

NorthwellNew York, NY

About The Position

Facilitates patient's hospitalization from pre-admission through post-discharge. Coordinates with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care. Assesses, plans, oversees and evaluates the appropriateness of care across the acute care continuum. Applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning.

Requirements

  • Bachelors Degree in Nursing, required.
  • Current license to practice as a Registered Professional Nurse in New York State.
  • Minimum five (5) years clinical experience as a registered nurse.
  • A strong clinical background and an understanding of the preparation and post procedure monitoring requirements for diagnostic/radiological and/or surgical procedures
  • PC literate.
  • Knowledge of Microsoft Office, Excel, spreadsheet management, required.

Nice To Haves

  • Masters Degree, preferred.
  • Patient Review Instruments (PRI) Certification, preferred. Certification in Case Management, preferred.
  • Prior experience in utilization management and/or discharge planning, preferred.

Responsibilities

  • Coordinates and facilitates patient care throughout hospitalization.
  • Performs concurrent utilization management.
  • Ensures compliance with current state, federal and third party payer regulations.
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