Registered Nurse Case Manager -FlexStaff Contract

Northwell Health • Lake Success, NY

2d

About The Position

Registered Nurse Case Manager – FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient.

Requirements

• Graduate from an accredited School of Nursing
• Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
• Minimum 2 years relevant experience, required.

Nice To Haves

• Bachelor’s Degree in Nursing, preferred.
• Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date

Responsibilities

• Facilitates patient management throughout hospitalization
• Performs concurrent utilization management using evidence based medical necessity criteria
• Submits data to management regarding case management and/or quality initiatives
• Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team
• Conducts chart review for appropriateness of admission and continued length of stay
• Facilitates throughput
• Conducts clinical reviews and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course
• Ensures compliance with current state, federal, and third party payer regulations
• Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient
• Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments
• Completes applicable areas of the patients discharge instruction sheet and the patient transfer sheet
• Ensures case management documentation is current and accurate
• Performs related duties as required.
• All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act.
• Duties not mentioned here, but considered related are not essential functions

What This Job Offers

• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees