Case Manager RN
2 weeks ago
At Northwell Health, we are seeking a highly skilled Registered Nurse Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the continuum of quality patient care throughout hospitalization.
Job Summary:The Registered Nurse Case Manager will serve as a liaison between the patient and facility/physician, ensuring a seamless transition of care. This role requires strong clinical skills, excellent communication, and a patient-centered approach.
Key Responsibilities:- Facilitate patient management throughout hospitalization, ensuring timely and effective care.
- Perform concurrent utilization management using evidence-based medical necessity criteria.
- Submit data to management regarding case management and/or quality initiatives.
- Serve as an in-patient liaison, planning, assessing, implementing, and evaluating patient care in collaboration with the healthcare team.
- Conduct chart reviews for appropriateness of admission and continued length of stay, facilitating throughput.
- Interact with third-party payers to obtain approval of hospital days, pre-certification, and post-discharge eligibility in relation to clinical course.
- Ensure compliance with current state, federal, and third-party payer regulations.
- Document the case management process in the medical record, completing and documenting a care coordination assessment on the patient.
- Serve as a liaison to the patient, family, admitting, primary care physician, healthcare team, and hospital departments.
- Graduate from an accredited School of Nursing.
- Bachelor's Degree in Nursing, preferred.
- Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date.
- Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
- Minimum 1 year RN Case Management experience required.
The salary range for this position is $90,000-$145,000/year. Northwell Health offers a comprehensive benefits package, including medical, dental, and vision insurance, retirement plans, and paid time off.
Northwell Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, regardless of their background, culture, or identity.
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