Logo
Memorial Sloan Kettering Cancer Center

RN Case Manager, Inpatient

Memorial Sloan Kettering Cancer Center, New York, New York, us, 10261

Save Job

Overview

About Us: Memorial Sloan Kettering Cancer Center (MSK) is dedicated to ending cancer for life. Our teams provide personalized, compassionate, expert care and collaborate with scientists to drive translational and clinical research. MSK is committed to training the next generation of scientists and clinicians who pursue our mission. Exciting Opportunity at MSK:

Are you passionate about using your Case Management experience to support Oncology Patients? The MSK Case Management Department includes Registered Nurses, Licensed Practical Nurses, and support staff. In this role, you will evaluate and respond to clinical and administrative denials referred to Case Management for appeal, participate in daily denial management through resolution after the appeal is filed, perform special chart reviews to support strategic planning, and act as a liaison to insurance carriers and staff. Role Overview

Provide case management for a caseload of Oncology patients Assess discharge planning needs at the patient’s admission Perform regular concurrent review on all patients and coordinate all needed services including home care to facilitate safe and timely transitions of care, and follow selected patients in the outpatient setting Act as part of a multidisciplinary team to provide continuity of care throughout treatment and follow-up Coordinate with physicians and clinical nursing staff regarding ongoing patient care Work with insurance carriers and MSK billing departments to initiate appeals and acquire authorizations for treatment Key Qualifications

Current NYS Registered Nurse License/Registration; BSN preferred At least 2–3 years of clinical hospital nursing experience Managed care/UR/CM experience strongly preferred Knowledge of state and federal regulations that govern health insurance coverage Knowledge of Microsoft Outlook, Word, Excel, and PowerPoint Core Skills

Excellent interpersonal, decision-making, and communication skills Strong decision-making and negotiation skills Schedule:

Four 10-hour shifts Friday to Monday (Saturday and Sunday Required) Pay Range:

$122,800.00 – $196,500.00 FLSA Status:

Exempt Closing:

At MSK, we believe in fair, competitive pay that reflects your job, experience, and skills. MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status, or any other protected characteristic. Note:

Federal law requires employers to provide reasonable accommodations to qualified individuals with disabilities. Please inform us if you require accommodations to apply or perform your job.

#J-18808-Ljbffr