Registered Nurse (RN) - Care Manager
Stability Direct
White Plains, NY
5x8 hrs

Stability Direct is proud to partner with one of the leading nonprofit hospitals in White Plains, NY. This hospital has been widely recognized for their exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in the  community. They offer tremendous growth opportunities, great benefits, and flexible work schedules.
  RN Care Manager

• Mon-Fri, 8:30a-4:30p or 9a-5p; monthly weekend rotation(Saturday & Sunday)
• Sign On Bonus : $5,000
• Salary Range: $120,000 - $154,000

 Job 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 (i.e. AIMS, Geisinger, polypharmacy) 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.

Essential Functions and Responsibilities Includes the Following:

Understands and adheres to the WPH Performance Standards, Policies and Behaviors

Completes a comprehensive initial assessment.

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 aftercare
• 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.

Performs all other related duties as assigned

 Education & Experience Requirements  

• BSN or related Bachelor's degree required
• 5 years clinical ED, critical care or med/surg experience required
• 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
• Registered Nurse (RN) NYS license required
• PRI/Screen certification strongly preferred.
• C.C.M. (Certified Case Manager) certification preferred
• Computer skills essential