Clinical Case Manager
1 month ago
Req Number 126662
Job Description
Job Summary
Northwell Health is seeking a skilled Registered Nurse Case Manager to serve as a liaison between patients and healthcare facilities. This role ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient discharge.
Key Responsibilities
- Facilitate Patient Management
- Participate in Patient Management Rounds and Meetings
- Identify and Resolve Issues
- Coordinate Social Work Services
- Collaborate with Physicians
- Plan, Assess, Implement, and Evaluate Patient Care
- Provide Resource Support
- Work with On-Site Screeners
- Collaborate with Payers
- Serve as Liaison to Patients and Families
- Collaborate with Healthcare Teams
- Provide Support to Healthcare Teams and Patients
- Involve Patients and Families in Care Planning
- Ensure Patient Informed Decision-Making
- Conduct Concurrent Utilization Management
- Chart Review and Utilization Management
- Interact with Third-Party Payers
- Ensure Compliance with Regulations
- Identify Patients for Alternate Level Care
- Communicate with Insurance Companies
- Utilize Important Messages from Medicare
- Manage Patient Care Outcomes
- Submit Data to Management
- Participate in Quality Management
- Initiate Discharge Planning
- Review Patient Charts
- Assess Patient Needs
- Coordinate Discharge Planning
- Document Case Management
- Complete Psychosocial Assessments
- Document Patient Progress
- Finalize Discharge Plans
- Complete Patient Discharge Instructions
- Ensure Patient Review Instrument
- Update Case Management Sheets
Requirements
- Bachelor's Degree in Nursing
- Current License to Practice as a Registered Professional Nurse in New York State
- Case Management Certification
- Minimum of One Year Related Experience
- Keeps Abreast of Developments in the Field
Additional Salary Detail
The salary range for this position is $50.21-$70.05/hour.
Northwell Health is an equal employment opportunity employer and treats all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
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