Nurse Case Manager: E8: Rehab

3 weeks ago

Feura Bush, United States Albany Medical Center Full time

Feura Bush, 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

    2 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, 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...

  • Nurse Case Manager: E8: Rehab

    3 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, 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...

  • Nurse Case Manager: E8: Rehab Specialist

    2 weeks ago

    Feura Bush, New York, United States Albany Medical Center Full time

    Job SummaryWe are seeking a skilled Nurse Case Manager to join our team at Albany Medical Center. The successful candidate will be responsible for facilitating the interdisciplinary team to plan, coordinate, implement, and evaluate patient care for assigned service lines across the continuum of care.Key ResponsibilitiesAssist the admission MD and/or...

  • Rehabilitation Nurse

    4 weeks ago

    Feura Bush, New York, United States Albany Medical Center Full time

    Job Title: Rehabilitation Registered NurseAlbany Medical Center is seeking a skilled Rehabilitation Registered Nurse to join our team in the E8 Physical Medicine & Rehabilitation Acute Inpatient Rehabilitation Unit.About the Role:This is a unique opportunity for a weekend track night Registered Nurse to make a meaningful difference in the lives of our...

  • Clinical Nurse III

    3 weeks ago

    Feura Bush, New York, United States Albany Medical Center Full time

    Job SummaryAlbany Medical Center is seeking a skilled Clinical Nurse III to join our Inpatient Rehab team. As a key member of our healthcare team, you will provide high-quality patient care and work collaboratively with our multidisciplinary team to achieve exceptional patient outcomes.ResponsibilitiesImplement physician orders, administer medications, start...

  • Assistant Nurse Manager

    4 weeks ago

    feura bush, United States Albany Medical Center Full time

    Feura Bush, NY, United States Department/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 Vice...

  • Assistant Nurse Manager

    2 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, 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 Vice...

  • Assistant Nurse Manager

    4 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, 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 Vice...

  • Assistant Nurse Manager

    4 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, 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 Vice...

  • Assistant Nurse Manager

    4 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, 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

    2 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, 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

    4 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, 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

    4 weeks ago

    feura bush, United States Albany Medical Center Full time

    Feura Bush, NY, United StatesDepartment/Unit:Short Stay SurgicalWork 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

    4 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, NY, United StatesDepartment/Unit:Short Stay SurgicalWork 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

    2 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, NY, United StatesDepartment/Unit:Short Stay SurgicalWork 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

    4 weeks ago

    Feura Bush, United States Albany Medical Center Full time

    Feura Bush, NY, United StatesDepartment/Unit:Short Stay SurgicalWork 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

    4 weeks ago

    Feura Bush, New York, United States Albany Medical Center Full time

    Job SummaryWe are seeking a highly skilled and experienced Assistant Nurse Manager to join our team at Albany Medical Center. As a key member of our nursing leadership team, you will be responsible for coordinating, planning, and managing administrative, financial, and operational duties in collaboration with our Administrative Nursing Supervisor, Nurse...

  • Assistant Nurse Manager

    3 weeks ago

    Feura Bush, New York, United States Albany Medical Center Full time

    Job SummaryWe are seeking a highly skilled and experienced Assistant Nurse Manager to join our team at Albany Medical Center. This role will provide leadership and support to our nursing staff, ensuring the delivery of high-quality patient care and promoting a positive work environment.Key ResponsibilitiesCoordinate and plan administrative, financial, and...

  • Nurse Manager Assistant

    2 weeks ago

    Feura Bush, New York, United States Albany Medical Center Full time

    Job Summary:The Assistant Nurse Manager plays a vital role in the Neurosciences & Epilepsy Monitoring Unit (EMU) at Albany Medical Center. This position is responsible for coordinating, planning, and administering various duties in collaboration with the Administrative Nursing Supervisor, Nurse Manager, and Assistant Vice President of Specialty Nursing...

  • Unit Manager for Rehab Unit

    1 week ago

    Pine Bush, United States Quality Talent Group Full time

    About the job Unit Manager for Rehab Unit - RN New Paltz Center for Rehabilitation and Nursing is seeking an experienced Registered Nurse (RN) Unit Manager to work for our Skilled Nursing Facility located in New Paltz, NY. The ideal candidate will have excellent interpersonal skills and prior management experience in Long-term care! We are now offering a...