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Nurse Case Manager
2 months ago
Department/Unit: Care Management/Social Work
Work Shift:
As a Registered Nurse in our Care Management team, you will play a critical role in ensuring the highest quality of care for our patients. Your responsibilities will include:
- Utilization Management: Reviewing patient admissions and continued stays to ensure they meet Departmental standards.
- Quality Screening: Identifying at-risk populations and documenting findings based on Departmental standards.
- Delay Management: Facilitating the removal of delays and documenting delays when they exist.
- Communication: Collaborating with the healthcare team and appropriate departments to ensure seamless communication and care coordination.
Requirements:
- Bachelor's degree preferred.
- Recent experience in case management, utilization management, and/or discharge planning/home care in a high-volume, acute care hospital preferred.
- Assertive and creative problem-solving skills, critical thinking, systems planning, and patient care management.
- Basic knowledge of computer systems with skills applicable to utilization review processes.
- Understanding of Inpatient versus Outpatient surgery and ICD10-Coding (preferred) and Observation status qualifications.
- Strong analytic, data management, and PC skills.
- Working knowledge of Medicare regulatory requirements and Managed Care Plans.
Why Join Us:
Albany Medical Center is an equal opportunity employer and is committed to providing a work environment that is free from discrimination and harassment. We are proud to offer a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) plan and paid time off.
Confidentiality:
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.
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.
