Current jobs related to Case Manager - Schenectady - Ellis Medicine

  • Case Manager

    2 days ago

    Schenectady, New York, United States Ellis Medicine Full time

    Job Title: Case ManagerJoin Ellis Medicine as a Case Manager and play a vital role in ensuring the highest level of care for our patients. As a Case Manager, you will be responsible for coordinating patient care, managing discharge planning, and conducting utilization reviews to ensure that patients receive the most appropriate and cost-effective care.Key...

  • Case Manager

    1 day ago

    Schenectady, New York, United States Ellis Medicine Full time

    Job Title: Case ManagerWe are seeking a skilled and compassionate Case Manager to join our team at Ellis Medicine. As a Case Manager, you will play a critical role in ensuring the smooth transition of patients from hospital to home, while also promoting high-quality care and cost-effective outcomes.Key Responsibilities:Develop and implement comprehensive...

  • Professional Case Manager

    4 weeks ago

    Schenectady, New York, United States MVP Health Care Full time

    Job SummaryThis position will utilize the essentials of an integrated Case Management model that includes assessment, planning, implementation, care coordination, monitoring and advocacy to meet the member's comprehensive health needs.Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members, act...

  • Case Management Specialist

    1 month ago

    Schenectady, New York, United States MVP Health Care Full time

    Job OverviewProfessional, Case ManagerMVP Health Care is a leading health insurance provider dedicated to enhancing the well-being of our members. We are seeking a skilled Case Manager to join our dynamic team. This role is pivotal in delivering comprehensive care management services that encompass assessment, planning, implementation, and advocacy to...

  • Professional Case Manager

    2 weeks ago

    Schenectady, New York, United States MVP Health Care Full time

    About the RoleMVP Health Care is seeking a skilled Professional Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in ensuring our members receive comprehensive and coordinated care.Key ResponsibilitiesUtilize an integrated Case Management model to assess, plan, implement, and monitor care for designated...

  • Healthcare Case Manager

    1 month ago

    Schenectady, New York, United States MVP Health Care Full time

    Job OverviewPosition: Case ManagerMVP Health Care is a distinguished not-for-profit health insurer dedicated to enhancing the well-being of our members in New York and Vermont. Our mission is to provide personalized and supportive health insurance solutions, powered by a diverse team of over 1,700 employees.Role Summary:The Case Manager will implement a...

  • Professional Case Manager

    3 weeks ago

    Schenectady, New York, United States MVP Health Care Full time

    Job SummaryMVP Health Care is seeking a highly skilled Professional Case Manager to join our team. As a key member of our healthcare team, you will be responsible for providing comprehensive case management services to our members.Key ResponsibilitiesAssess and identify the medical and psycho-social needs of designated membersDevelop and implement...

  • Professional Case Manager

    4 weeks ago

    Schenectady, New York, United States MVP Health Care, Inc. Full time

    About the RoleMVP Health Care, Inc. is seeking a skilled Professional Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in ensuring our members receive comprehensive and coordinated care.Key ResponsibilitiesUtilize an integrated Case Management model to assess, plan, implement, and monitor care for...

  • Professional Case Manager

    1 week ago

    Schenectady, New York, United States MVP Health Care Full time

    Job SummaryThis position will utilize the essentials of an integrated Case Management model to meet the member's comprehensive health needs. Through collaborative efforts, the Case Manager will identify the medical and psycho-social needs of designated members, act as a proactive partner to provide appropriate education, resources, and healthcare...

  • Clinical Case Manager

    4 weeks ago

    Schenectady, New York, United States MVP Health Care Full time

    Job OverviewProfessional, Case ManagerJoin MVP Health Care, a leader in the health insurance industry, where we are dedicated to improving the health and wellness of our members. We pride ourselves on our diverse workforce of over 1,700 passionate individuals committed to making a difference in the communities we serve.Position Summary:The Case Manager will...

  • Professional, Case Manager

    2 months ago

    Schenectady, United States MVP Health Care Full time

    Professional, Case ManagerHeadquarters Office, 625 State Street, Schenectady, New York, United States of America Req #2121Wednesday, August 7, 2024Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The...

  • Professional, Case Manager

    2 months ago

    Schenectady, United States MVP Health Care Full time

    Job DescriptionProfessional, Case ManagerHeadquarters Office, 625 State Street, Schenectady, New York, United States of America Req #2121Wednesday, August 7, 2024Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for...

  • Manager of Case Management and Social Services

    1 month ago

    Schenectady, New York, United States Ellis Medicine Full time

    Position Overview:Ellis Medicine offers a comprehensive and adaptable benefits package.Role Summary:The Manager of Case Management and Social Work Services is integral to the daily functioning of the department. This role involves supporting the recruitment and oversight of all personnel within the Case Management and Social Work Services team.It is...

  • Client Engagement Case Manager

    1 month ago

    Schenectady, New York, United States Mohawk Opportunities Inc. Full time

    Job OverviewPosition: Outreach Case ManagerKey Responsibilities:Connect with individuals referred by the Outreach HUB, evaluating their eligibility and needs based on personal goals. Facilitate referrals to community resources and conduct ongoing assessments to address persistent challenges impacting care delivery, community stability, and health...

  • Day Habilitation Case Manager

    2 days ago

    Schenectady, New York, United States Living Resources Full time

    Job Title: Day Habilitation Case ManagerLiving Resources is a non-profit human services agency dedicated to supporting individuals with disabilities or life-challenging conditions. We are seeking a skilled Day Habilitation Case Manager to join our team in Schenectady County.Job Summary:The Day Habilitation Case Manager will be responsible for developing and...

  • Director of Case Management and Social Work

    1 hour ago

    Schenectady, New York, United States Ellis Medicine Full time

    Job Summary:The Director of Case Management and Social Work Departments is responsible for the daily operations of these departments and serves as the key link between the HIM department, medical and nursing staff, and senior management. This role ensures that clinical documentation accurately reflects resource management and the severity of illness of the...

  • RN Care Manager

    2 weeks ago

    Schenectady, New York, United States Trinity Health Corporation Full time

    Job Summary:We are seeking a skilled RN Care Manager to join our team at Sunnyview Acute Rehab Hospital. As a Per Diem RN, you will play a critical role in providing discharge planning and case management services to inpatients on assigned units/programs.Key Responsibilities:Develop and implement individualized care plans to ensure seamless transitions for...

  • Healthcare Case Coordinator

    4 weeks ago

    Schenectady, New York, United States MVP Health Care Full time

    Job OverviewProfessional, Case ManagerAt MVP Health Care, we are a leading not-for-profit health insurer dedicated to enhancing the health and wellness of our members across New York and Vermont. Our diverse team of over 1,700 employees is committed to making health insurance more accessible and personalized.Position Summary:The Case Manager will employ a...

  • Community Outreach Case Coordinator

    1 month ago

    Schenectady, New York, United States Mohawk Opportunities Inc. Full time

    Job OverviewCommunity Outreach Case ManagerThe role of the Community Outreach Case Manager involves:Connecting with individuals identified by outreach initiatives and evaluating their eligibility and needs based on personal goals. Facilitating referrals to community resources and conducting ongoing assessments to address persistent challenges that impact...

  • Per Diem RN Position in Case Management

    2 weeks ago

    Schenectady, New York, United States Trinity Health Corporation Full time

    Job Summary:We are seeking a skilled RN Care Manager to join our team at Sunnyview Acute Rehab Hospital. As a Per Diem RN, you will play a critical role in providing discharge planning and case management services to inpatients on assigned units/programs.Key Responsibilities:Develop and implement individualized care plans to ensure seamless transitions for...

Case Manager

4 months ago

Schenectady, United States Ellis Medicine Full time

Basic Function: 1. To be responsible for the comprehensive integration of Discharge Planning, Performance Improvement and Utilization Review activities at patient, hospital, and system levels. 2. Efficiently and effectively ensures the anticipation, identification, and resolution of issues through pre-admission, admission, concurrent and post discharge medical record review 3. Services as a consultant, provides guidance to the healthcare team on patients in need of transfers, medical review or care plans 4. Ensures that the patients and families are discharged at the highest level of functioning feasible. Work with patients, families, internal departments, and external agencies to provide smooth, timely transition of care across the continuum 5. Activities will be documented as per policy. Information will be analyzed, tracked, trended, and shared with the appropriate medical dental staff or hospital department as needed. Ensures that outcome management (data collection through analysis) information is accurate, communicated, and evaluated for process improvement potential. Education and Experience Requirements: Education: RN is mandatory. A Bachelors of Science in Nursing from an approved school of Nursing preferred. Currently licensed to practice as a RN in New York State. Experience: Previous Utilization Review, Quality Assessment, Discharge Planning or Home Care experience is highly preferred. Requirements: • Adheres to the Case Management Philosophy and practices of the UR/QA DP and SW policies and procedures. By following all department policies/procedures, attends all required in-service/meetings. Acts as a role model for high standards of performance. Works closely with all of the following: Medical Staff Department, Nursing, Ancillary Services, External, and Internal customers to facilitate high quality intervention, communication and customer satisfaction. Uses appropriate judgment and lines of authority to maintain the confidentiality and conflict of interest protocols of peer review. Provides guidance, support, and an environment that enables staff and customers to adhere to their responsibilities. Understands and adjusts policies to specific age-related needs of patients. Provides input in ongoing evaluation of policies as processes, regulations, change, etc. • Screens and assesses high risk patients for potential discharge planning needs using age-appropriate criteria. Communicates with out-patient areas as needed to ensure screening and identification of patients in need of post hospital care planning. Prepforms assessments throughout continuum on all patients over 70 or all patients over 65 who live alone as well as patients with chronic medical problems, readmission or non-compliance issues, temporary or permanent medical treatment or needs, or per pathway protocol. Responds to nursing, physician, ancillary, community, patient and family requests, or indication for assessment. Provides Community Service packets to all patients and families assessed. Documents thoroughly and accurately in chart and Patient Discharge instruction Sheet. Aggregates patient population needs for process/programmatic changes. Acts as RN mentor for educational development. • Develops Comprehensive Discharge Plan. Initiates/follows comprehensive assessment of patients in need of post hospital services by ensuring medical, functional, psycho-social needs, and/or developmental are identified and met as feasible. Works with families to provide the necessary level of involvement, anticipatory guidance, and support. Works with external agencies to ensure that the appropriate services are available for a timely, smooth transition home, and to ensure the continuity of care. Documents thoroughly on the red bordered sheets. Ensures that discharge planning plays a key role in the internal efficiency of the hospital by timely intervention for a low LOS (i.e. anticipates/identifies and resolves barriers to discharge, as feasible and/or identifies and verifies payment source for services and equipment prior to implementation of discharge plan). Maintains communication with social work regarding all potential ALC patients, prior to actual ALC date. Aggregates patient population needs and facilitates program development (internal and external) to meet challenges of care needs. • Implements and evaluates the discharge plan. Communicates finalized individual post-hospital care plan. Plans with external agencies to ensure the appropriate services are available and the agencies are able to provide/ensure required post hospital care and long term planning. Completes written and verbal information including, but not limited to: patient discharge instruction sheet, HRM – work sheet, final post hospital care plan, required verbal referrals, and required written referrals. Evaluates the effectiveness of the plan as feasible. Is familiar with outcomes of agencies for information to families if they request such data. • Ensures that all in-patient care is medically necessary and at the appropriate level. Does pre-admission evaluation in the ED, PAT, and out-patient areas as assigned. Does admission review on first working day post admission with communication to insurance as needed. Does concurrent review on criteria and nursing judgment. Make all contact with insurance companies timely. Assigns LOS by DRG, physician, and medical record documentation and nursing judgment. Appropriately anticipates, identifies, and communicates when a patient can receive services at another level of care, including making the appropriate insurance determination. Issues appropriate, accurate HINN in a timely manner, ensuring patient rights. Anticipates and identifies barriers to an appropriate LOS, and resolve concurrently as feasible. Anticipates UR/QA/DP issues and opportunities and communicates with the attending, consultants, and the clinical department timely. Accurately documents UR activity on Case Management Worksheets. Adheres to observation unit policies. Consultant to MC, office staff, and healthcare team regarding: acute care needs, appropriateness, right resources, right setting, etc. Appropriately arranges transfers. Understands the needs over continuum to plan best management plan. • Ensures effective concurrent Quality Assurance. Works closely with chiefs/QA process, support staff to ensure comprehensive departmental QA plans and assist with annual review analysis. Applies concurrent criteria and ensures that all indicators are prepared for review, brought to department meetings, addressed through recommendations, coordinated as appropriate and documented through the minutes process aggregated for trend. Assists medical staff in the development and continued improvement of their peer review indicators and activities. Document clearly and succinctly all quality assurance variances on worksheets (NYPORTS, ADR’s). Anticipates and resolves concurrent issues prospectively as feasible. Identifies trends, patterns or variables, as well as opportunities for focused studies, etc. Responsible for pathway data, management, coordination, and communication. Responsible for quality management data, concurrent collection and intervention with departments. Develops, completes, and analyzes focus projects research (sampling method, hypothesis development, and prioritizing purpose). Timely and comprehensive completion of plans of care and quarterly reports. Facilitates and develops protocols, programs, and processes changes. Familiar and adept with CQI techniques. Familiar and adept with benchmark and outcome data. Participates in credentialing data and system. • Ensures the comprehensive integration of Utilization Review, Quality Assurance, and Discharge Planning Activity. Recognizes the relationship between: Quality Assurance, Cost-effective care, Discharge Planning, Customer Satisfaction, Public Relations, Education and Staff Development, and Medical Education. Works on Quality Improvement teams, projects, and programs which assist in continued improvement and self-development. Looks for opportunities to continuously improve the systems in which we work. • Serves as nurse consultant for Social Worker cases with Clinical or discharge planning needs. Provides home care referrals on Adult Home patients, etc. Assists with or coordinates Nursing Home returns as needed. Coordinates acute hospital to hospital transfers to ensure compliance with all the discharge planning regulations and transfer policy. Provides guidance, support, and back-up to social workers on patients in need of transfer, medical review and care planning. • Maintains Professional Standards. Attends necessary in-services; seeks learning experiences and gathers medical/community knowledge as needed. Completes hospital wide mandatory in-service program. Maintains and follows universal precautions as indicated. Meets OSHA requirements regarding exposure control and Hep B vaccine Seeks to understand all processes and identifies opportunities for enhancements, seeks education and in-service as needed. Communicates clearly, provides feedback and listens effectively; enables and builds bridges to ensure job and customer satisfaction; has general willingness to see all sides objectively. Exhibits good stress tolerance; creates favorable working environment and customer satisfaction. Obtains cross training on-call, weekend coverage, as well as job performance standards. Provides internal coverage and support to fellow team members to ensure the maintenance of the department’s high standards of care. Familiarizes self with and complies with all department and hospital wide policy and procedures. Salary Range: $33.71-$50.56 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.