Clinical Liaison RN

1 month ago

Mt Kisco, United States Northwell Health Full time
Job Summary

We are seeking a highly skilled Registered Nurse Case Manager to join our team at Northwell Health. The successful candidate will serve as a liaison between patients and healthcare facilities, ensuring a continuum of quality patient care throughout hospitalization and overseeing provisions for patient discharge.

Key Responsibilities
  • Facilitate patient management throughout hospitalization, ensuring seamless communication between healthcare teams.
  • Perform concurrent utilization management using evidence-based medical necessity criteria to optimize patient care.
  • Submit data to management regarding case management and quality initiatives, driving continuous improvement.
  • Serve as an in-patient liaison, planning, assessing, implementing, and evaluating patient care in collaboration with the healthcare team.
  • Conduct chart reviews for appropriateness of admission and continued length of stay, facilitating throughput and optimizing resource allocation.
  • Interact with third-party payers to obtain approval of hospital days, pre-certification, and post-discharge eligibility in relation to clinical course.
  • Ensure compliance with current state, federal, and third-party payer regulations, maintaining the highest standards of patient care.
  • Document the case management process in the medical record, completing and documenting a care coordination assessment on the patient.
  • Serve as a liaison to patients, families, admitting, primary care physicians, healthcare teams, and hospital departments, fostering effective communication and collaboration.
  • Complete applicable areas of the patient's discharge instruction sheet and the patient transfer sheet, ensuring case management documentation is current and accurate.
Requirements
  • Graduate from an accredited School of Nursing, with a Bachelor's Degree in Nursing preferred.
  • Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
  • Enrolled in an accredited BSN program within two years and obtain a BSN Degree within five years of job entry date.
Salary and Benefits

The salary range for this position is $90,000-$145,000 per year, with additional benefits and compensation packages available.

Northwell Health is an equal opportunity employer, committed to providing equal employment opportunity and treating all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

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