Care Manager (Full Time)

As Mount Sinai grows, so does our legacy of caring

Located in the heart of Miami Beach, overlooking the breathtaking intracoastal waterway, Mount Sinai Medical Center is dedicated to providing exceptional health care to our diverse community enhanced through innovation, technology, teaching, and research.

Mount Sinai is South Florida's largest private independent not-for-profit hospital with 672 beds, and a tight-knit community of more than 4,000 employees and 500 volunteers

We provide world-class care:

• Named one of America's 250 Best Hospitals for 2020 and 2021 by Healthgrades, positioning Mount Sinai among the top 5% of hospitals in the nation for overall clinical excellence.
• A pioneer in innovative medical research in areas such as cardiology, cancer, memory disorders and pulmonary diseases
• The BEST cardiac surgery survival rate in Florida
• A new seven-story Surgical Tower with 154 all-private rooms and patient centered technology promotes an exceptional patient experience

Position Responsibilities:

• Proactively identifies patients/individuals in need of care management services/intervention.
• Gathers information about assigned populations and prioritizes workload appropriately to meet desired outcomes.
• Responds to referral requests in a timely manner and offers possible alternatives for assistance if referral is not appropriate for care management intervention.
• Conducts/documents admissions assessments in a complete and timely manner in accordance with department standards.
• Conducts/documents utilization reviews in a complete and timely manner.
• Utilizes InterQual criteria and communicates outcomes as indicated/warranted to appropriate parties.
• Maintains a holistic view of the patient and his/her needs
• Develops and documents a plan to address identified barriers to care collaboratively with the patient/family, physician, and interdisciplinary team
• Documents the discharge plan in a complete and timely manner
• Updates the discharge plan as warranted/patient condition changes
• Appropriately addresses any identified issues that may put a patient at risk for readmission
• Discusses transitions of care and discharge planning with patients and families (HCAHPS)
• Documents discharge disposition.
• Completes and provides all required forms, including but not limited to: the Important Message from Medicare (IM), the Choice Letter, Hospital-to-Hospital transfer forms, SNF transfer forms, the PASRR.

Qualifications:

• RN or Foreign Medical Graduate.
• Case management, Utilization Review and Discharge planner experience is required.
• Minimum of 2 years experience in hospital setting.
• InterQual experience preferred.
• Bilingual preferred.

Benefits:

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs. Our robust employee benefits package includes:

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for selected positions and more!