Care Manager

2 weeks ago


Kingston, New York, United States WMCHealth Full time
Job Summary

We are seeking a skilled Care Manager to join our team at WMCHealth. As a key member of our healthcare team, you will be responsible for providing care management and care coordination for patients receiving treatment.

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.
  • Coordinate the care of patients whose care is at risk from either a clinical or cost perspective.
  • Initiate discharge planning assessments on admission and coordinate discharge/post-discharge activities.
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 experience preferred.
  • Current knowledge of Federal and State regulations.
Preferred Qualifications
  • PRI certification preferred.
What We Offer

As a Care Manager at WMCHealth, you will have the opportunity to work in a dynamic and supportive environment, with a focus on delivering high-quality patient care. We offer competitive compensation and benefits packages, as well as opportunities for professional growth and development.


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