Nurse Manager Case Management
2 days ago
A leading health system based in the metro New York region is now seeking an experienced Nurse Manager Case Management to join their award-winning healthcare team
Located in the heart of the Hudson Valley, this comprehensive healthcare facility offers cutting-edge medical services, catering to a wide array of patient needs, from emergency care to specialized medical treatments. With over 370+ beds, it supports a robust healthcare network including a renowned cancer center, a highly skilled maternity ward, and advanced cardiac care services. Recognized for excellence, it has been awarded for outstanding patient care and innovative healthcare solutions, ensuring top-tier medical support for the region. The hospital's dedication to community health is evident through its various outreach programs and educational initiatives aimed at enhancing patient outcomes and promoting wellness.
The Nurse Manager Case Management leads hospital-wide care coordination, utilization review, and discharge planning to optimize patient flow, reduce length of stay, and enhance outcomes. Daily responsibilities include rounding with interdisciplinary teams, reviewing caseloads, prioritizing barriers to discharge, coordinating authorizations and appeals with payers, facilitating care conferences, and collaborating closely with physicians, bedside nurses, social workers, therapy, and post-acute partners to ensure safe transitions of care. The Nurse Manager Case Management supervises and mentors a staff of 20+ case managers and social workers, manages staffing and scheduling, audits EMR documentation for accuracy and compliance, and ensures adherence to CMS, Joint Commission, and UR standards. The role monitors KPIs such as readmissions, avoidable days, and throughput, analyzes data dashboards, drives evidence-based workflows, and leads performance improvement initiatives and root cause analyses. Additional duties include standardizing processes, elevating patient experience, resolving complex placement issues, partnering with population health programs, and reporting outcomes to leadership.
What's Needed to Succeed:
- Degree from an accredited nursing program
- Licensed as a Registered Nurse RN in the state of New York or ability to obtain
- Progressive leadership experience overseeing care coordination, utilization review, or similar care setting
Experience the charm of a vibrant Hudson River village, offering scenic waterfront views, a walkable downtown with chef-driven restaurants, boutique shopping, art galleries, live music, and a popular year-round farmers market. Residents enjoy an easy NYC commute, top-rated schools, and an active outdoor lifestyle with kayaking, cycling, and hiking at nearby Hook Mountain and riverfront parks. With historic architecture, tree-lined streets, diverse housing options from Victorian homes to modern condos, and a friendly, inclusive community, this riverfront area blends small-town warmth with big-city convenience for exceptional quality of life.
This organization is prepared to offer a competitive compensation package including industry leading benefits and continued growth opportunities.
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