Care Manager

3 weeks ago


Kingston, New York, United States WMCHealth Full time

About the Role:

WMCHealth is seeking a skilled Care Manager to join our team. As a Care Manager, you will play a critical role in ensuring the delivery of efficient and cost-effective healthcare services to our patients.

Key Responsibilities:

  • Maintain familiarity with laws, regulations, and interpretation of utilization review and discharge planning.
  • Conduct ongoing quality monitoring, including identification of quality, risk management, and infection control issues.
  • Assess patients to identify needs, issues, resources, care goals, and discharge needs.
  • Plan patient care collaboration with the healthcare team, patient, and family for the hospital stay.
  • Communicate continually with physicians, providing information and interpretation of third-party payer guidelines.

Requirements:

  • RN, Graduate of an accredited school of Nursing or BSW/CSW (BSW minimum) or Masters in another health-related field.
  • 2 years hospital-based experience, with knowledge of medical/surgical cases.
  • One (1) year QA/UR or Case Management preferred.

Preferred Qualifications:

  • PRI certification.
  • Clinical competency, excellent verbal and written communication skills, and strong organizational skills.

About WMCHealth:

WMCHealth is a leading healthcare organization dedicated to providing high-quality, patient-centered care to our community.


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