Job Description:
Job Title – RN -Coordinator /Manager
Location - White Plains, NY, 10601 (Onsite)
Type – Permanent Full Time
DETAILS:
Permanent Full Time
Shift: Days Shift
Summary:
The RN Care Manager performs the initial comprehensive assessment on admission in accordance with the Care Management Department policy, screening all patients by utilizing established tools for high-risk indicators to ensure high risk patient populations receive the appropriate supportive services for discharge to prevent readmission and assess all populations for potential discharge planning needs.
Provides ongoing reassessment of needs throughout the hospital course.
Performs UR activity per department policy.
Performs all activities for multidisciplinary care coordination at the intra-hospital level of care and inter-hospital level of care.
Performs all transitional planning activities including but not limited to: Patient/caregiver education Arrangement of all after care Commercial payer involvement High utilizer patient root cause Communicates and collaborates all relevant patient information to appropriate health team members.
Ensures department goals of LOS reduction, readmission prevention, denial reduction, and satisfaction improvement are realized.
Documents per department requirements.
Participates in Performance Improvement activities as needed.
Performs all UR activities per department policy: Commercial payer reviews Disposition determination, Retro/self-audit MC variance Admission clinical review.
The RN Care Manager collaborates with all Health Care professionals to evaluate the needs and the safe discharge of all geriatric patients including but not limited to inpatients, emergency department and surgical outpatients.
Performs all other related duties as assigned Education & Experience Requirements BSN required for all RNs hired after 1/1/18All RNs hired before 1/1/18 will be required to have their BSN (or MSN) by 12/31/21.
Registered Nurse (RN) NYS license required
PRI Certification (PRI certification to be obtained within 3 months of initial employment) Screen certification strongly preferred
A Care Management certification preferred (i.e. CMC, CCM etc.)
3 years clinical ED, critical care or med/surg experience preferred
Previous case management experience preferred Knowledge of healthcare financial, regulatory, and payer issues preferred Knowledge of state, local, and federal programs strongly preferred
Experience in use of Milliman/InterQual criteria A Care Management certification preferred (i.e. CMC, CCM etc.)
Job Type: Full-time
Pay: $60.00 - $75.00 per hour
Expected hours: No less than 24 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
Application Question(s):
- Are you fine for onsite in White Plains, NY, 10601 (Must)?
- Do you have RN NYS license ?
- What is your minimum per hour/annum rate/salary expectation?
- Are you fine to obtain PRI certification within 3 months of initial employment ?
- How many years of experience do you have in clinical ED, critical care or med/surg ?
Work Location: On the road
