We are seeking a dedicated Registered Nurse Case Manager to join our healthcare team. 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.

• Job Title: Registered Nurse
• Specialty: Case Manager
• Unit: Case Management (Utilization Review)
• Location: White Plians, NY
• Duration: 13 weeks
• Shift: 8 am to 6 pm (10 hours day)

Responsibilities:

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

2. Completes a comprehensive initial assessment.

3. Performs all activities for multidisciplinary care coordination at the intra-hospital level of care and inter-hospital level of care.

4. 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 5. Communicates and collaborates all relevant patient information to appropriate health team members.

6. Ensures department goals of LOS reduction, readmission prevention, denial reduction, and satisfaction improvement are realized.

7. Documents per department requirements.

8. Participates in Performance Improvement activities as needed.

9. Performs all UR activities per department policy: · Commercial payer reviews · Disposition determination, · Retro/self-audit · MC variance · Admission clinical review.

10. 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.

11. Performs all other related duties as assigned

Qualifications:

- Valid Registered Nurse (RN) NYS license required
- A Care Management certification preferred (i.e. CMC, CCM etc.)
- 3 years clinical ED, critical care or med/surg 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

Job Type: Contract

Pay: $2,500.00 - $3,000.00 per week

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Referral program
• Vision insurance

Schedule:

• 10 hour shift

Work setting:

• Acute care
• Outpatient

Experience:

• Case Manager: 3 years (Preferred)
• clinical ED, critical care or med/surg: 3 years (Preferred)

License/Certification:

• NY RN license (Preferred)

Ability to Relocate:

• White Plains, NY 10601: Relocate before starting work (Required)

Work Location: In person