Case Manager RN

Join to apply for the Case Manager RN - Per Diem role at Nuvance Health. Introduction At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcome, respected and supported. Together, we are a team of 15,000+ strong hearts and open minds. If you share our values of connected, personal, agile and imaginative, we invite you to discover what’s possible for you and your career. Description Putnam Hospital, a 164-bed acute care hospital, has been serving the local community in Carmel, New York for 60 years. Situated on a 150‑acre wooded campus surrounded by lakes and waterways, we provide the essential services a community needs from their local hospital, including Emergency and Behavioral Health Services. Our Accolades Include The Leapfrog Group – Grade A for quality and patient safety U.S News & World Report – High Performance in COPD Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Robotic Center of Excellence – Surgical Review Corporation (SRC) Summary The Case Manager RN works in conjunction with the centralized denial prevention team and partners with the local interdisciplinary care team to facilitate the progression of care for the hospitalized patient. Together with the medical provider, the Case Manager RN collaborates with all members of the care team, focusing on the delivery of efficient, high‑quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely discharge for the patient. The role navigates health system services to support effective transitions while advising the team on healthcare industry compliance. The Case Manager RN must be adept at driving throughput metrics, clinical effectiveness, and fiscal responsibility. Responsibilities Initially screen all patients early in the hospitalization, particularly for patients likely to have post‑acute needs, and every 1‑2 days throughout their stay to facilitate care progression to establish an anticipated length of stay and transition planning needs. Collaborate with the medical team to formulate a treatment plan to include care transitions and promote patient flow. Complete an initial assessment of all admissions/observation patients to identify barriers that impact the length of stay and discharge planning. The assessment should also identify the needs of the patients, acknowledge current resources available, and anticipate future resources needed to facilitate successful transitions. Navigates the care delivery system while collaborating with the physician and other clinical departments by ensuring that tests, treatments, consults, and procedures are appropriately indicated and performed timely. Articulate the plan of care and communicate this plan to other care team members and patient/caregiver. Intervene to maintain care progression when a deviation in the plan occurs. Create and coordinate the overall transition plan of care based on the initial assessment and concurrent collaboration with social workers, direct care providers, other hospital departments, external service organizations, agencies and healthcare facilities, community care and navigation services, and the patient and family/caregiver. Facilitate daily Multi‑Disciplinary Rounds (MDRs) incorporating evidence/best practice milestones in the plan and communicate that plan to the health care team. Apprise the interdisciplinary team of the estimated length of stay, care progression barriers, and anticipated disposition. Identify what is needed from the team to facilitate the plan. Facilitate smooth care transitions by ensuring appropriate clinical follow‑up is arranged and referrals to proper post‑acute providers are initiated. Communicate the plan effectively with the patient and family/caregiver, ensuring they have resources for success post‑discharge. Understand organizational goals for the length of stay and unplanned readmissions. Proactively interface with the payer, where required, verifying coverage/benefits for anticipated discharge needs and obtaining authorization for post‑acute care. Identify patients that are readmitted or at high risk for unplanned readmissions and initiate appropriate interventions. Identify organizational resources within the community and engage those resources as necessary. Document avoidable days (if not captured by another Care Transitions Team member), case management assessments, and care plans in a thorough and timely manner, per department policy. Ensure appropriate care provider documentation to support the patient’s anticipated discharge plan of care. Escalate deviations from the plan to the Physician Advisor as appropriate. Complete clear and concise documentation of the care plan and communicate this to the interdisciplinary team and the patient/caregiver. Identify and communicate any problems or issues affecting patient flow, patient satisfaction, safety, length of stay management, or outcomes to the department director and/or appropriate key stakeholder. Function as a resource for governmental and health care industry regulations and ensure compliance, communicating standards to the interdisciplinary team. Inform the patient and family/caregiver of the plan of care and the plan progression. Facilitate communication with the providers and encourage open dialogue. Facilitate Care Partner Huddles/Family meetings as needed. Attend and contribute to departmental staff meetings. Participate and contribute to multi‑disciplinary committees and other committees or workgroups as directed. Manage quality indicators such as avoidable delays, length of stay, resource utilization, patient satisfaction, patient flow, outlier management, and readmissions while suggesting strategies to improve organizational/departmental performance. Assist with completion of PRIs upon request and as needed. Maintain and model the organization’s values. Demonstrate regular, reliable and predictable attendance. Perform other duties as required. Education, Skills & Experience NY RN License required. Preferred: Bachelor’s degree in nursing or another healthcare‑related field. Experience: 3–5 years in an acute care setting. Certifications: ACM, CCM, or CMAC preferred. BLS strongly recommended. Closing With strong hearts and open minds, we’re pushing past boundaries and challenging the expected, all in the name of possibility. We are neighbors caring for neighbors, working together as partners in health to improve the lives of the people we serve. If you share our passion for the health of our communities, advance your career with Nuvance Health Company: Putnam Hospital Center Org Unit: 1168 Department: Care Coordination Exempt: Yes Salary Range: $45.29 – $84.11 Hourly #J-18808-Ljbffr