Nurse Case Manager: E8: Rehab

4 weeks ago

Troy, United States Albany Medical Center Full time

Troy, 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

    troy, United States Albany Medical Center Full time

    Troy, NY, United States Department/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

    Troy, United States Albany Medical Center Full time

    Troy, 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

    Troy, United States Albany Medical Center Full time

    Troy, 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

    Troy, New York, United States Albany Medical Center Full time

    Job SummaryAlbany Medical Center is seeking a skilled Nurse Case Manager to join our team. 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 patient outcomes.Key ResponsibilitiesCollaborate with the...

  • Case Manager

    4 weeks ago

    Troy, Michigan, United States Care Michigan Full time

    Job OverviewAt Care Michigan, we are seeking a skilled Case Manager to join our team. As a Case Manager, you will play a vital role in providing case management assistance and support to individuals who have been injured and/or disabled due to work-related accidents.Your primary responsibilities will include attending physician appointments, taking notes,...

  • Hospice Case Manager

    4 weeks ago

    Troy, Michigan, United States St Croix Hospice Full time

    Job Title: Registered Nurse Case ManagerSt Croix Hospice is seeking a compassionate and skilled Registered Nurse Case Manager to join our team in Troy, MI.Job Summary:The Registered Nurse Case Manager will plan, organize, and direct hospice care, utilizing their expertise in nursing and community health education. This role requires strong communication and...

  • Nurse Case Manager Opportunity

    3 weeks ago

    Troy, Michigan, United States Beaumont Home Health and Hospice Full time

    About the Role:Beaumont Home Health and Hospice is seeking a compassionate and skilled Registered Nurse Case Manager to join our team. As a Registered Nurse Case Manager, you will play a vital role in providing high-quality patient care and coordinating services to meet the unique needs of our patients.Key Responsibilities:Assess patient conditions and...

  • RN Case Manager

    4 weeks ago

    Troy, Michigan, United States Trinity Health Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at Trinity Health. As a RN Case Manager, you will play a critical role in managing the progression of patients' care, collaborating with the healthcare team to utilize evidence-based practice guidelines, and advocating for patients' needs.Key ResponsibilitiesCollaborate with the healthcare...

  • Home Care RN

    2 weeks ago

    Troy, United States Trinity Health Corporation Full time

    Employment Type: Full time Shift: Day Shift Description: Home Care RN - Eddy Visiting Nurses and Rehab Association - Rensselaer County, NY Offering flexible schedule options!! * Five 7.5 hour shifts! * Four 10 hour shifts! * Three 12 hour shifts! Eddy Visiting Nurse & Rehab Association has a rewarding opportunity for a full time Speciality RN to join...

  • RN Case Manager

    1 month ago

    Troy, New York, United States Trinity Health Full time

    Job Title: RN Case ManagerWe are seeking a skilled and compassionate RN Case Manager to join our team at Trinity Health. As a key member of our healthcare team, you will play a vital role in ensuring the highest quality patient care and outcomes.Job Summary:The RN Case Manager will be responsible for collaborating with the healthcare team to manage the...

  • Registered Nurse

    4 weeks ago

    Troy, United States St Croix Hospice Full time

    Registered Nurse (RN) Case Manager Job Details Level Experienced Job Location Troy MI - Troy, MI Education Level 2 Year Degree Job Shift Day Job Category Nurse Description St Croix Hospiceis looking for aHospice Case Managerfor our branch inTroy Michigan. TheRegistered Nurse Case Managerplans, organizes and directs hospice care and is...

  • Occupational Therapist

    4 weeks ago

    Troy, North Carolina, United States FirstHealth of the Carolinas Full time

    Job Summary:We are seeking an Occupational Therapist (OT) or Certified Occupational Therapy Assistant (COTA) to join our multidisciplinary team in a short-term rehab skilled nursing environment. The ideal candidate will have experience in skilled nursing rehab and excellent customer service, time management, and communication skills. This position offers...

  • RN Case Manager

    4 weeks ago

    Troy, New York, United States Trinity Health Full time

    Job Summary:We are seeking a skilled RN Case Manager to join our team at Trinity Health. As a RN Case Manager, you will play a critical role in the progression of patients' care, collaborating with the healthcare team to utilize evidence-based practice guidelines.Responsibilities:Collaboratively manage the progression of patients' care with the healthcare...

  • Hospice Case Manager

    3 weeks ago

    Troy, Michigan, United States St Croix Hospice Full time

    Job Title: Hospice Case ManagerSt Croix Hospice is seeking a compassionate and skilled Hospice Case Manager to join our team. As a Registered Nurse, you will play a vital role in providing high-quality care to patients and their families.Key Responsibilities:Conduct comprehensive assessments of patients and families to determine their needs and develop...

  • Registered Nurse

    2 weeks ago

    Troy, United States St. Croix Hospice Full time

    St Croix Hospice is looking for a Hospice Case Manager for our branch in Troy Michigan. The Registered Nurse Case Manager plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the...

  • Occupational Therapist

    2 weeks ago

    Troy, North Carolina, United States FirstHealth of the Carolinas Full time

    Position Summary:We are seeking an Occupational Therapist or Certified Occupational Therapy Assistant to join our multidisciplinary short-term rehab team in a skilled nursing environment. As a key member of our team, you will work closely with patients to promote quality care and achieve the best functional outcomes.Key Responsibilities:Deliver...

  • Home Care RN

    4 days ago

    Troy, United States Trinity Health Full time

    **Employment Type:** Full time **Shift:** Day Shift **Description:** Home Care RN - Eddy Visiting Nurses and Rehab Association - Rensselaer County, NY **Offering flexible schedule options!!** + **Five 7.5 hour shifts!** + **Four 10 hour shifts!** + **Three 12 hour shifts!** Eddy Visiting Nurse & Rehab Association has a rewarding opportunity for...

  • Home Care RN

    2 months ago

    Troy, United States Trinity Health Full time

    Job DescriptionEmployment TypeFull timeShiftDay ShiftDescriptionHome Care RN – Eddy Visiting Nurses and Rehab Association – Rensselaer County, NYOffering flexible schedule options!!Five 7.5 hour shifts!Four 10 hour shifts!Three 12 hour shifts!Eddy Visiting Nurse & Rehab Association has a rewarding opportunity for a full time Speciality RN to join our...

  • Home Care RN

    1 week ago

    Troy, United States Trinity Health Full time

    Job DescriptionEmployment TypeFull timeShiftDay ShiftDescriptionHome Care RN – Eddy Visiting Nurses and Rehab Association – Rensselaer County, NYOffering flexible schedule options!!Five 7.5 hour shifts!Four 10 hour shifts!Three 12 hour shifts!Eddy Visiting Nurse & Rehab Association has a rewarding opportunity for a full time Speciality RN to join our...

  • Licensed Practical Nurse

    5 days ago

    Troy, United States LINCOLN COUNTY NURSING & REHAB Full time

    LINCOLN COUNTY NURSING & REHAB - LINCOLN COUNTY NURSING & REHAB, located in Troy, Missouri is currently seeking a Licensed Practical Nurse (LPN) to join our team.Licensed Practical Nurse (LPN) Duties and Responsibilities:Provides nursing care to patients as assignedAdministers and records medications and treatments as assignedReinforce supports and provides...