Nurse Case Manager: E8: Rehab

4 weeks ago

Castleton On Hudson, United States Albany Medical Center Full time

Castleton On Hudson, NY, United States

Department/Unit:

Inpatient Rehab - E8

Work Shift:

Day (United States of America)

The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve maximum clinical and financial outcomes. The Case Manager participates in maintaining quality care and performance improvement through leadership, problem solving, decision making, and outcome measurement. The Case Manager functions as a resource for the health care team, community, patient/significant others/family and payers by functioning as a clinician, consultant, advocate and educator for assigned service.


Essential Duties and Responsibilities
  • Assists the admission MD and or designated physician and the interdisciplinary teams in assuring coordination of care across the continuum of care in the hospital pre and post-op.
  • Proactively monitor patients' clinical process through /patient care standards and evidence-based guidelines to ensure timely, appropriate interventions that achieve optimal patient outcomes within appropriate LOS and financial constraints.
  • Provides collaborative care management with the primary nurse in assessing for discharge planning needs, coordinating appropriate resources and evaluating effectiveness of the discharge plan. The discharge planning process needs to begin on admission.
  • Collaborates with the health care team and appropriate department in the management of care across the continuum of care, including pre-admission, discharge, post-discharge, planning length of stay, and utilization of resources.
  • Utilizes own special body of knowledge and evidence-based guidelines to provide leadership and guidance to the health care team in formulating an individualized multidisciplinary plan of care to include: pre-hospitalization, acute hospital care, discharge education, transition to home and use of community resources.
  • Facilitates and participates in health care team care conference for patients with complex problems.
  • Facilitates patient and family education and the discharge process to promote continuity of care and optimal patient outcomes.
  • Demonstrates experience in the referral process and use of community resources.
  • Reviews data from admission screening to clarify admission diagnosis, establish appropriate length of stay, and identify any potential outliers and determine appropriateness of admission based on institutional standards and evidence-based guidelines.
  • Contacts payer source to confirm/negotiate benefits and provide concurrent reviews.
  • Identifies capitated patients to determine appropriate utilization of series and coordinates post hospital care using defined standards.
  • Identifies high-risk patients based on clinical and financial criteria for collaboration with patient financial services to problem-solve available resources.
  • Ensures that appropriate medical/legal documentation is contained in patient's records.
  • Complies with regulations established by third party payers including but not limited to notices of non- coverage reinstatement and continued stay.
  • Collaborates with the health care team in implementing strategies to reduce length of stay/resource consumption to optimize patient health status for an assigned service patient.
  • Assesses educational needs and provides learning opportunities for health care professionals relevant to particular cases and selected patient care groups.
  • Collaborates with case management leadership to compile and report aggregate variances and data for specific patient care services.
  • Communicates and analyzes aggregate variances with members of the health care team and develops strategies for variance reduction.

Qualifications
  • Bachelor's Degree - required
  • Master's Degree - preferred
  • 1-3 years of clinical experience in an assigned service - required
  • Recent experience in case management, utilization management and/or discharge planning/home care in a high volume, acute care hospital - preferred
  • Demonstrates effective communication, facilitation, and organizational skills.
  • Assertive and creative in problem solving, critical thinking skills, systems planning and patient care management.
  • Self-directed with the ability to adapt in a changing environment.
  • Basic knowledge of computer systems with skills applicable to utilization review process.
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire - required
  • Certified Case Manager and PRI Upon Hire - preferred

Physical Demands
  • Standing - Constantly
  • Walking - Constantly
  • Sitting - Rarely
  • Lifting - Frequently
  • Carrying - Frequently
  • Pushing - Occasionally
  • Pulling - Occasionally
  • Climbing - Occasionally
  • Balancing - Occasionally
  • Stooping - Frequently
  • Kneeling - Frequently
  • Crouching - Frequently
  • Crawling - Occasionally
  • Reaching - Frequently
  • Handling - Frequently
  • Grasping - Frequently
  • Feeling - Constantly
  • Talking - Constantly
  • Hearing - Constantly
  • Repetitive Motions - Constantly
  • Eye/Hand/Foot Coordination - Constantly

Thank you for your interest in Albany Medical Center

Albany Medical Center is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Thank you for your interest in Albany Medical Center​

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

  • Nurse Case Manager: E8: Rehab

    4 weeks ago

    Castleton On Hudson, United States Albany Medical Center Full time

    Job Title: Nurse Case Manager: E8: RehabAlbany Medical Center is seeking a skilled Nurse Case Manager to join our team in the Inpatient Rehabilitation department. As a key member of our interdisciplinary team, you will be responsible for coordinating patient care across the continuum of care, ensuring timely and appropriate interventions to achieve optimal...

  • Nurse Case Manager: E8: Rehab

    3 weeks ago

    Castleton On Hudson, United States Albany Medical Center Full time

    Castleton On Hudson, NY, United StatesDepartment/Unit:Inpatient Rehab - E8Work Shift:Day (United States of America)The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality...

  • Nurse Case Manager: E8: Rehab

    4 weeks ago

    Castleton On Hudson, United States Albany Medical Center Full time

    Castleton On Hudson, NY, United StatesDepartment/Unit:Inpatient Rehab - E8Work Shift:Day (United States of America)The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality...

  • Nurse Case Manager: E8: Rehab

    4 weeks ago

    Hudson, United States Albany Medical Center Full time

    Hudson, NY, United StatesDepartment/Unit:Inpatient Rehab - E8Work Shift:Day (United States of America)The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams,...

  • Nurse Case Manager: E8: Rehab

    3 weeks ago

    Hudson, United States Albany Medical Center Full time

    Hudson, NY, United StatesDepartment/Unit:Inpatient Rehab - E8Work Shift:Day (United States of America)The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams,...

  • Nurse Case Manager: E8: Rehab

    4 weeks ago

    Hudson, United States Albany Medical Center Full time

    Hudson, NY, United StatesDepartment/Unit:Inpatient Rehab - E8Work Shift:Day (United States of America)The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams,...

  • Clinical Nurse II: E8: Rehab

    3 days ago

    hudson, United States Albany Medical Center Full time

    Department/Unit: Inpatient Rehab - E8Work Shift: Day (United States of America)The clinical Nurse contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee’s work is valuable and contributes to the success of...

  • Clinical Nurse III- E8: Rehab

    2 days ago

    Hudson, NY, United States Albany Medical Center Full time

    Department/Unit: Inpatient Rehab - E8 Work Shift: Weekend_Night (United States of America) Salary Range: $36.73 - $60.9 The E8 Physical Medicine & Rehabilitation Acute Inpatient Rehabilitation Unit is looking for a weekend track night Registered Nurse. As a rehabilitation nurse you will help our patients adjust to chronic illness or injury. This can be...

  • Nurse Case Manager: E8: Rehab

    3 weeks ago

    Hudson, United States Albany Medical Center Full time

    Job SummaryAlbany Medical Center is seeking a skilled Nurse Case Manager to join our team in the Inpatient Rehabilitation department. As a key member of our interdisciplinary team, you will play a vital role in coordinating patient care across the continuum of care.Key Responsibilities:Collaborate with the interdisciplinary team to develop and implement...

  • Healthcare Professional for Home Visits

    4 days ago

    Castleton On Hudson, United States Visiting Rehab and Nursing Services Full time

    About the RoleVisiting Rehab and Nursing Services, a clinician-owned home healthcare agency, is seeking an experienced Registered Nurse (RN) to join our team. This Per Diem position offers competitive pay rates, with visits ranging from basic wellness checks to education on disease management.Key ResponsibilitiesWound care and medication managementCatheter...

  • RN Case Manager

    4 weeks ago

    Hudson, Florida, United States Travel Nurse Across America Full time

    Job Title: RN Case ManagerWe are seeking a skilled RN Case Manager to join our team at Travel Nurse Across America. As a RN Case Manager, you will play a critical role in advocating for patients, evaluating their needs, and developing comprehensive care plans to ensure optimal outcomes.Key Responsibilities:Evaluate and assess new patients to identify their...

  • Registered Nurse Case Manager FTPT

    2 months ago

    Croton-on-Hudson, United States Quality Talent Group Full time

    Description: * DAY OR EVENING SHIFTS ON WEEKENDS * PER DIEM OR PARTTIME * RN SUPERVISOR SUMMARY Amazing opportunity to work in a BEAUTIFUL setting in the rolling hills of North Salem with a *5 Star Rated* Facility in Westchester County known for providing the highest quality care and resident experience. Waterview Hills Campus is home to Waterview Hills and...

  • RN - Case Mgr

    1 month ago

    Hudson, United States Travel Nurse Across America Full time

    Description We're looking for RN Case managers for an immediate travel nurse opening in Hudson, FL. The right RN should have 1-2 years recent case management experience. Read below for more requirements. As a RN Case Manager, you'll work with a highly skilled team of professionals to advocate for patients, evaluate, plan, provide resources and facilitate...

  • Assistant Nurse Manager

    4 weeks ago

    Castleton On Hudson, United States Albany Medical Center Full time

    Castleton On Hudson, NY, United StatesDepartment/Unit:Neurosciences & Epilepsy Monitoring Unit (EMU) - D5NWork Shift:Day (United States of America)The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and Assistant...

  • Assistant Nurse Manager

    1 month ago

    Castleton On Hudson, United States Albany Medical Center Full time

    Castleton On Hudson, NY, United StatesDepartment/Unit:Neurosciences & Epilepsy Monitoring Unit (EMU) - D5NWork Shift:Day (United States of America)The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and Assistant...

  • Assistant Nurse Manager

    3 weeks ago

    Castleton On Hudson, United States Albany Medical Center Full time

    Castleton On Hudson, NY, United StatesDepartment/Unit:Neurosciences & Epilepsy Monitoring Unit (EMU) - D5NWork Shift:Day (United States of America)The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and Assistant...

  • Case Manager RN

    7 days ago

    Hudson, United States Fusion Medical Staffing Full time

    Case Manager RNCase Manager RN Job #1584403 Hudson, FL $1620-1952/week* 40 hrs/week * Estimated wages and expense reimbursement. Does not include taxes, insurance, or other deductions that may occur. Apply for this job Job overview Start date 10/09/2024 Assignment length 13 weeks Shift Days Hours 5 X 8 Facility details Facility type Short...

  • Assistant Nurse Manager

    1 month ago

    Castleton On Hudson, United States Albany Medical Center Full time

    Castleton On Hudson, NY, United StatesDepartment/Unit:Post Surgical PRNWork Shift:Night (United States of America)The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and Assistant Vice President of Specialty Nursing...

  • Assistant Nurse Manager

    3 weeks ago

    Castleton On Hudson, United States Albany Medical Center Full time

    Castleton On Hudson, NY, United StatesDepartment/Unit:Post Surgical PRNWork Shift:Night (United States of America)The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and Assistant Vice President of Specialty Nursing...

  • Assistant Nurse Manager

    1 month ago

    Castleton On Hudson, United States Albany Medical Center Full time

    Castleton On Hudson, NY, United StatesDepartment/Unit:Post Surgical PRNWork Shift:Night (United States of America)The Assistant Nurse Manager performs coordination, planning, administrative management, financial and operational duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager and Assistant Vice President of Specialty Nursing...