Care Manager - ED
: Job Details :

Details Client NameWhite Plains Hospital - WH Job TypePermanent OfferingNursing ProfessionRN SpecialtyCase Manager Job ID29228779 Job TitleCare Manager - ED Shift Details ShiftDay - 12x3 - 08AM Scheduled Hours36 Job Order Details Start Date11/15/2024 Job DescriptionShift: 08:00 AM - 08:00 PMDescription:Understands and adheres to the Facility Performance Standards, Policies and BehaviorsCompletes 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 educationArrangement of all aftercareCommercial payer involvementHigh utilizer patient root causeCommunicates 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 reviewsDisposition determination,Retro/self-auditMC varianceAdmission clinical review.Performs all other related duties as assignedEducation & Experience Requirements: BSN or related Bachelor's degree required5 years clinical ED, critical care or med/surg experience requiredPrevious case management experience preferredKnowledge of healthcare financial, regulatory, and payer issues preferredKnowledge of state, local, and federal programs strongly preferredExperience in use of Milliman/InterQual criteriaRegistered Nurse (RN) NYS license requiredPRI/Screen certification strongly preferred.C.C.M. (Certified Case Manager) certification preferredComputer skills essentialPhysical/Mental Demands/Requirements & Work Environment: May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital's SDS (Safety Data Sheet) data base and may be accessed through the hospital's Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc.Must be physically able to walk, stand and/or sit for extended periods of time, with the ability to carry necessary equipment (i.e., IPad or laptop) on rounds. Must be able to perform difficult manipulative, arm-hand steadiness and hand-eye coordination skills. Must be able to meet all regulatory requirements. Demonstrates ability to follow written and oral instructions required for the position.Demonstrates ability to analyze multidimensional problems into component parts and sort out tasks in priority order to solve the problem.Must be able to see object closely and far away, hear normal sounds with some background noise. Communicates effectively verbally and in writing. Client Details Address41 E Post Rd CityWhite Plains StateNY Zip Code10601 Job Board DisclaimerBy applying for jobs on this website, you consent to receive daily messages from CYNET HEALTH about assignments that match your profile. Email or text HELP for more info, or STOP to unsubscribe.Your mobile info will not be shared with third parties for marketing. Standard messaging and data rates may apply.