Clinical Resource Manager

Richmond Medical Center • Staten Island, NY

11d

About The Position

The Clinical Resource Manager facilitates and coordinates timely patient care for a specific patient population or area of assignment. The role works with the interdisciplinary team to plan and implement individualized, safe, and appropriate discharge plans, while promoting high-quality, efficient, and cost-effective care. The Clinical Resource Manager assesses patient needs using established standards, Care Maps, and other approved clinical guidelines, with ongoing communication and coordination with third-party representatives. The role also facilitates care that meets established patient care needs while optimizing reimbursement.

Requirements

• Bachelor's degree required.
• Current registration in New York State as an RN; diploma and licensure required.
• At least 5 years of clinical experience as a Registered Nurse.
• Experience with utilization review and discharge planning.
• PRI and Screen certification.
• Knowledge of Microsoft Word and Excel.

Nice To Haves

• InterQual knowledge or experience preferred.

Responsibilities

• Facilitate and coordinate timely patient care for an assigned patient population or area.
• Work with the interdisciplinary team to plan and implement individualized, safe, and appropriate discharge plans.
• Promote high-quality, efficient, and cost-effective care.
• Assess patient needs using established standards, Care Maps, and approved clinical guidelines.
• Communicate and coordinate on an ongoing basis with third-party representatives.
• Facilitate care that meets established patient care needs while optimizing reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level