Care Manager

4 weeks ago


White Plains, New York, United States ATC White Plains Full time
Job Summary

We are seeking a highly skilled and experienced Care Manager to join our team at ATC White Plains. The successful candidate will be responsible for overseeing the delivery of quality care services to our patients, ensuring compliance with hospital, departmental, and regulatory standards.

Key Responsibilities
  • Develop and implement departmental goals and objectives that align with hospital mission and regulatory requirements.
  • Manage personnel, including interviewing, recommending hires, evaluating, counseling, and recommending terminations.
  • Prepare and monitor department budgets, ensuring compliance with hospital and regulatory standards.
  • Assure employee compliance with hospital, nursing department, and Human Resources policies and procedures.
  • Participate in the hospital Performance Improvement Program, identifying areas for improvement and implementing corrective actions.
  • Collaborate with interdisciplinary teams to promote a safe and effective patient care environment.
  • Develop and maintain good working relationships with community agencies and facilities.
  • Stay up-to-date with Medicare and Medicaid guidelines, regulatory requirements, and private health insurance operations.
Requirements
  • Bachelor's Degree in Nursing with RN License required; Master's Degree in Nursing preferred.
  • 5 years of managerial experience in an acute hospital setting.
  • Previous experience as a case manager required.
  • Knowledge of healthcare financial, regulatory, and payer issues.
  • Knowledge of state, local, and federal programs.
  • Experience with Milliman/Interqual criteria.
  • PRI/Screen certification preferred.
  • C.C.M. certification preferred.
  • Computer skills required.
Work Environment

The successful candidate will be working in a fast-paced hospital environment, requiring strong communication and problem-solving skills. The ability to work effectively in a team setting and maintain a positive attitude under pressure is essential.

Salary Range

$125,359.07-$188,049.62


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