Clinical Case Manager

4 days ago


Rhinebeck, New York, United States Nuvance Health Full time

Job Summary:

Nuvance Health is seeking a skilled Clinical Case Manager to join our team. As a key member of our care coordination team, you will play a vital role in ensuring the delivery of effective and efficient patient care.

Key Responsibilities:

  • Provide clinically-based case management to support the delivery of effective and efficient patient care.
  • Pace cases from physiological and economic perspectives.
  • Have overall accountability for the utilization management and transition management for patients within the assigned caseload.
  • Partner with Social Workers and collaborate with other health care team members to identify appropriate utilization of resources and to ensure reimbursement.
  • Utilize criteria to confirm medical necessity for admission and continued stay.
  • With the patient, family, and health care team, create a discharge plan appropriate to the patient's needs and resources.

Requirements:
  • 3-5 years of experience in a related field.
  • Associates Degree or equivalent; Bachelors in Nursing preferred.
  • Current RN Licensure required.

Work Environment:
  • Part-time position.
  • 18.75 standard hours per week.
  • 0.500000 FTE.
  • DAY 7.5 work schedule.
  • 8 - 4 work shift.

EOE:
Nuvance Health is an equal opportunity employer and welcomes applications from diverse candidates. We will make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business.
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