Nurse Case Manager: E8: Rehab

4 weeks ago

West Stockbridge, United States Albany Medical Center Full time

West Stockbridge, MA, 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

    1 month ago

    West Stockbridge, United States Albany Medical Center Full time

    West Stockbridge, MA, 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

    1 month ago

    West Stockbridge, United States Albany Medical Center Full time

    West Stockbridge, MA, 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...

  • Clinical Nurse III: E8: Rehab

    6 days ago

    West Stockbridge, United States Albany Medical Center Full time

    Department/Unit:Inpatient Rehab - E8Work Shift:Weekend_Day (United States of America)Hourly Min= $36.73Hourly Max= $60.93The E8 Physical Medicine & Rehabilitation Acute Inpatient Rehabilitation Unit is looking for a weekend track day Registered Nurse. As a rehabilitation nurse you will help our patients adjust to chronic illness or injury. This can be done...

  • Nurse Case Manager: E8: Rehab

    4 weeks ago

    West Wareham, United States Albany Medical Center Full time

    West Stockbridge, MA, 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

    1 month ago

    West Stockbridge, Massachusetts, United States Albany Medical Center Full time

    Job SummaryThe Albany 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 patient outcomes. Key...

  • Registered Nurse

    4 weeks ago

    West Richland, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms! Hiring Case Managers in Washington Come join our growing team! A few of our perks: Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • RN Case Manager

    1 week ago

    West Richland, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Washington   Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • RN Case Manager

    2 weeks ago

    West Richland, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Washington   Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • Senior Case Manager RN

    4 days ago

    West Richland, WA, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Senior Case Managers in Washington Come join our growing team! A few of our perks:Create your own schedule!$44/hr. (including 100% of Hourly Wage Paid for Drive Time)Bonus Eligible Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with...

  • CNA Position at Good Samaritan Nursing

    1 month ago

    West Islip, New York, United States Good Samaritan Nursing & Rehab Full time

    Join Our Team as a CNA at Good Samaritan Nursing & RehabWe are seeking a compassionate and dedicated Certified Nursing Assistant (CNA) to join our team at Good Samaritan Nursing & Rehab. As a CNA, you will play a vital role in providing exceptional care to our residents, ensuring their comfort, dignity, and well-being.Responsibilities:Provide personal care...

  • Director of Case Management

    3 weeks ago

    West Orange, United States Kessler Institute for Rehabilitation - West (West Orange) Full time

    Overview:Kessler Institute for Rehabilitation | Select MedicalWest Orange, NJDirector of Case Management - Inpatient RehabShift Hours: Full Time, 8:30 AM to 4:30 PMKessler Rehabilitation Hospital is currently seeking a Director of Case Management to join their collaborative leadership team. The Director of Case Management serves as a mentor and plays a key...

  • Clinical Case Manager

    3 weeks ago

    Stockbridge, United States Aveanna Healthcare Full time

    Clinical Case Manager (RN)   (Clinical Supervisor)  This leadership opportunity involves managing a caseload of medically fragile patients while ensuring the clinical care delivered by our field staff meets or exceeds the Aveanna Clinical Standard of Excellence. Our ideal candidate will be outcome driven and able to thrive in an always-changing...

  • Clinical Case Manager

    3 weeks ago

    Stockbridge, United States Aveanna Healthcare Full time

    Clinical Case Manager (RN)   (Clinical Supervisor)  This leadership opportunity involves managing a caseload of medically fragile patients while ensuring the clinical care delivered by our field staff meets or exceeds the Aveanna Clinical Standard of Excellence. Our ideal candidate will be outcome driven and able to thrive in an always-changing...

  • Clinical Case Manager

    3 weeks ago

    Stockbridge, United States Aveanna Healthcare Full time

    Job DescriptionJob DescriptionClinical Case Manager (RN)   (Clinical Supervisor)  This leadership opportunity involves managing a caseload of medically fragile patients while ensuring the clinical care delivered by our field staff meets or exceeds the Aveanna Clinical Standard of Excellence. Our ideal candidate will be outcome driven and able to...

  • Clinical Case Manager

    4 weeks ago

    Stockbridge, United States Aveanna Healthcare Full time

    Clinical Case Manager (RN)   (Clinical Supervisor)  This leadership opportunity involves managing a caseload of medically fragile patients while ensuring the clinical care delivered by our field staff meets or exceeds the Aveanna Clinical Standard of Excellence. Our ideal candidate will be outcome driven and able to thrive in an always-changing...

  • Clinical Case Manager

    4 weeks ago

    Stockbridge, United States Aveanna Healthcare Full time

    Clinical Case Manager (RN)   (Clinical Supervisor)  This leadership opportunity involves managing a caseload of medically fragile patients while ensuring the clinical care delivered by our field staff meets or exceeds the Aveanna Clinical Standard of Excellence. Our ideal candidate will be outcome driven and able to thrive in an always-changing...

  • Clinical Case Manager

    4 weeks ago

    Stockbridge, United States Aveanna Healthcare Full time

    Clinical Case Manager (RN)   (Clinical Supervisor)  This leadership opportunity involves managing a caseload of medically fragile patients while ensuring the clinical care delivered by our field staff meets or exceeds the Aveanna Clinical Standard of Excellence. Our ideal candidate will be outcome driven and able to thrive in an always-changing...

  • Clinical Case Manager

    4 weeks ago

    Stockbridge, United States Aveanna Healthcare Full time

    Job DescriptionJob DescriptionClinical Case Manager (RN)   (Clinical Supervisor)  This leadership opportunity involves managing a caseload of medically fragile patients while ensuring the clinical care delivered by our field staff meets or exceeds the Aveanna Clinical Standard of Excellence. Our ideal candidate will be outcome driven and able to...

  • Clinical Case Manager

    3 weeks ago

    Stockbridge, United States Aveanna Healthcare Full time

    Clinical Case Manager (RN)   (Clinical Supervisor)  This leadership opportunity involves managing a caseload of medically fragile patients while ensuring the clinical care delivered by our field staff meets or exceeds the Aveanna Clinical Standard of Excellence. Our ideal candidate will be outcome driven and able to thrive in an always-changing...

  • RN Case Manager PRN

    3 weeks ago

    West Palm Beach, United States HCA Florida JFK North Hospital Full time

    Description IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager PRN with HCA Florida JFK North Hospital you can be a part of an organization that is devoted to giving back!BenefitsHCA Florida JFK North Hospital, offers a total rewards package that supports the health,...