NewYork-Presbyterian Hospital
Case Manager RN - Inpatient Units - Brooklyn Methodist - Days
NewYork-Presbyterian Hospital, New York, New York, us, 10261
Talent Acquisition Operations Lead at NewYork-Presbyterian Hospital
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Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days
Located in Park Slope, Brooklyn, this acute‑care teaching hospital has been providing outstanding medical care to the surrounding communities for over 135 years.
The Case Manager is responsible for all aspects of discharge planning and utilization management/review for an assigned group of patients to determine the appropriateness of the admission and continued stay, assist in the development of the plan of care; ensure that the plan is implemented timely and identify the expected length of stay (ELOS). The Case Manager works collaboratively with physicians, social workers, clinical nurses, home care services, and other members of the interdisciplinary team. The Case Manager actively participates in specific clinical initiatives focused on reducing the length of stay (LOS), improving efficiency and quality, and ensuring resource utilization is appropriate.
Case manager/utilization manager: Responsible for an average of 60-70 medical/surgical daily admissions that requires risk identification and clinical reviews. A utilization nurse completes no less than 20 initial clinical reviews daily.
Responsibilities Also Includes
Completing 100% clinical reviews for managed care, Medicare and Medicaid admissions
Completing concurrent and retrospective reviews
Communicating with physicians and the inpatient case management teams on patients who do not meet initial inpatient criteria or continued inpatient stay
Coordinating expedited appeals for inpatient denials with attending physicians and insurance providers
Ensuring organization resources are being utilized appropriately
Completing patient assessments within 24 hours
Coordinating safe and appropriate post‑acute care plans
Obtains authorizations from managed care companies for post‑discharge services
Preferred Criteria
Master’s degree
CCM certification
Required Criteria
Current NYS RN license
Bachelor’s degree in Nursing (BSN)
3-5 yrs Acute Care RN nursing experience
Previous experience in inpatient acute care case manager/discharge planning, certified home health care (CHHA), Case Management experience, utilization experience, or managed care organization experience required
PRI certification
BCLS Certification
Join a healthcare system where employee engagement is at an all‑time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life‑changing journey today.
Please note that all roles require on‑site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses.
Salary Range $118,134 - $155,787/Annual
NewYork-Presbyterian Hospital is an equal opportunity employer.
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Located in Park Slope, Brooklyn, this acute‑care teaching hospital has been providing outstanding medical care to the surrounding communities for over 135 years.
The Case Manager is responsible for all aspects of discharge planning and utilization management/review for an assigned group of patients to determine the appropriateness of the admission and continued stay, assist in the development of the plan of care; ensure that the plan is implemented timely and identify the expected length of stay (ELOS). The Case Manager works collaboratively with physicians, social workers, clinical nurses, home care services, and other members of the interdisciplinary team. The Case Manager actively participates in specific clinical initiatives focused on reducing the length of stay (LOS), improving efficiency and quality, and ensuring resource utilization is appropriate.
Case manager/utilization manager: Responsible for an average of 60-70 medical/surgical daily admissions that requires risk identification and clinical reviews. A utilization nurse completes no less than 20 initial clinical reviews daily.
Responsibilities Also Includes
Completing 100% clinical reviews for managed care, Medicare and Medicaid admissions
Completing concurrent and retrospective reviews
Communicating with physicians and the inpatient case management teams on patients who do not meet initial inpatient criteria or continued inpatient stay
Coordinating expedited appeals for inpatient denials with attending physicians and insurance providers
Ensuring organization resources are being utilized appropriately
Completing patient assessments within 24 hours
Coordinating safe and appropriate post‑acute care plans
Obtains authorizations from managed care companies for post‑discharge services
Preferred Criteria
Master’s degree
CCM certification
Required Criteria
Current NYS RN license
Bachelor’s degree in Nursing (BSN)
3-5 yrs Acute Care RN nursing experience
Previous experience in inpatient acute care case manager/discharge planning, certified home health care (CHHA), Case Management experience, utilization experience, or managed care organization experience required
PRI certification
BCLS Certification
Join a healthcare system where employee engagement is at an all‑time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life‑changing journey today.
Please note that all roles require on‑site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses.
Salary Range $118,134 - $155,787/Annual
NewYork-Presbyterian Hospital is an equal opportunity employer.
#J-18808-Ljbffr