Nurse Case Manager: E8: Rehab

4 weeks ago


Albany, New York, United States Albany Medical Center Full time
Job Summary

We are seeking a skilled Nurse Case Manager to join our team at Albany Medical Center. The successful candidate will be responsible for coordinating patient care across the continuum of care, ensuring timely and appropriate interventions to achieve optimal patient outcomes.

Key Responsibilities
  • Assist the admission MD and interdisciplinary teams in coordinating care across the continuum of care.
  • Monitor patients' clinical processes to ensure timely and appropriate interventions.
  • Provide collaborative care management with primary nurses to assess discharge planning needs and coordinate resources.
  • Collaborate with healthcare teams to manage care across the continuum, including pre-admission, discharge, and post-discharge planning.
  • Utilize evidence-based guidelines to provide leadership and guidance to healthcare teams in formulating individualized plans of care.
  • Facilitate health care team care conferences for patients with complex problems.
  • Facilitate patient and family education and the discharge process to promote continuity of care and optimal patient outcomes.
  • Review data from admission screening to clarify admission diagnosis and establish appropriate length of stay.
  • Contact payer sources to confirm and negotiate benefits and provide concurrent reviews.
  • Identify capitated patients and coordinate post-hospital care using defined standards.
  • Identify high-risk patients and collaborate with patient financial services to problem-solve available resources.
  • Ensure that appropriate medical and legal documentation is contained in patient records.
  • Comply with regulations established by third-party payers.
  • Collaborate with healthcare teams to implement strategies to reduce length of stay and resource consumption.
  • Assess educational needs and provide learning opportunities for healthcare professionals.
  • Compile and report aggregate variances and data for specific patient care services.
Requirements
  • 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
  • Effective communication, facilitation, and organizational skills
  • Assertive and creative 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


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