Case Manager

1 week ago

Ithaca, New York, United States Cayuga Health System Full time
Position Overview

Cayuga Health System is recognized as a premier healthcare provider, dedicated to enhancing the health and wellness of the communities we serve. Our mission is supported by a team of exceptional professionals who are committed to delivering innovative clinical solutions and ensuring access to the latest healthcare advancements.

Role: RN/LPN/LMSW - Case Manager in Emergency Services

The RN/LPN/LMSW Case Manager plays a crucial role in providing comprehensive nursing care to a designated group of patients. This position involves assessing patient needs, collaborating with the care team, and developing, implementing, and evaluating tailored Care Plans to adapt to the evolving needs of patients.

The Case Manager is responsible for overseeing the utilization review process, ensuring adherence to established standards of care to validate medical necessity, appropriate care levels, and necessary notifications.

Additionally, the Case Manager facilitates patient transitions across the healthcare continuum, ensuring safe and timely movement to the appropriate care settings.


Key Responsibilities:

  • Evaluate hospital admissions against evidence-based care standards to confirm medical necessity and appropriateness of care levels.
  • Ensure patient information, including demographics, insurance details, primary care providers, and advanced directives, is accurately maintained in the electronic medical record (EMR).
  • Assess the needs of the emergency department patient population and coordinate necessary outpatient follow-up care.
  • Stay informed about organizational and departmental goals, taking proactive steps to achieve desired outcomes.
  • Maintain up-to-date knowledge of federal, state, and accreditation standards related to Utilization Review and Discharge Planning.
  • Exhibit high visibility and approachability within the department.
  • Demonstrate flexibility in taking on additional responsibilities as needed.

Qualifications:

Education: Graduation from an accredited Nursing program or a Master's in Social Work program.

Must obtain Case Management Certification or equivalent within 18 months of employment.

Experience: A minimum of 2 to 3 years in an acute care hospital environment or similar healthcare case management experience.

Proficiency in community resources, along with strong communication, organizational, critical thinking, and problem-solving skills, is essential.

Familiarity with EMR systems and demonstrated resilience in high-pressure situations are required.

Licensure: Current, unrestricted New York State Licensure as RN/LPN/LMSW.


Preferred Qualifications:

  • BSN in Nursing is preferred.
  • Prior experience in Utilization Review is advantageous.
  • Case Management Certification is preferred.

Physical Requirements:

  • Ability to stand, sit, or move for extended periods. Must be able to navigate various units, transport oneself to different locations, and perform data entry in EMR and other systems.

Work Environment:

  • This position requires onsite presence.

Compensation:

  • Annual salary range: $77,230.46 to $95,450.40.

Cayuga Health System is committed to providing equitable treatment to all patients, staff, and volunteers, ensuring the highest standards of safety and respect while striving to address healthcare disparities.


We are an Equal Employment Opportunity employer, dedicated to fostering a diverse and inclusive workplace that reflects the rich variety of our community.

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