Stability Direct is seeking a Registered Nurse (RN) Case Management for a nursing job in Irvington, New York.
Job Description & Requirements
- Specialty: Case Management
- Discipline: RN
- Start Date: 01/01/2025
- Duration: Ongoing
- 40 hours per week
- Shift: 8 hours
- Employment Type: Staff
Stability Direct is proud to partner with one of the leading nonprofit hospitals in White Plains, NY. This hospital has been widely recognized for their exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in the community. They offer tremendous growth opportunities, great benefits, and flexible work schedules. RN Case Manager
- Mon-Fri, 8:30a-4:30p or 9a-5p; monthly weekend rotation(Saturday & Sunday)
- Sign On Bonus : $5,000
- Salary Range: $120,000 - $154,000
Job Summary 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 (i.e. AIMS, Geisinger, polypharmacy) 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.
Essential Functions and Responsibilities Includes the Following:
Understands and adheres to the WPH Performance Standards, Policies and Behaviors Completes 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 education
- Arrangement of all aftercare
- Commercial payer involvement
- High utilizer patient root cause
Communicates 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 reviews
- Disposition determination,
- Retro/self-audit
- MC variance
- Admission clinical review.
Performs all other related duties as assigned Education & Experience Requirements
- BSN or related Bachelor's degree required
- 5 years clinical ED, critical care or med/surg experience required
- Previous case management 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
- Registered Nurse (RN) NYS license required
- PRI/Screen certification strongly preferred.
- C.C.M. (Certified Case Manager) certification preferred
- Computer skills essential
Stability Direct Job ID #5333. Posted job title: RN Case Manager
About Stability Direct
Stability Direct, Stability Healthcare's boutique permanent placement division was formed in 2022 with a mission of becoming a service leader in the industry. In a very short period of time, we have become the staffing partner of choice for award-winning and reputable health systems across the country including Adventist Health, Beth Israel Deaconess Medical Center, Jupiter Medical Center, Roper Hospital, and Southeast Georgia Health System. With decades of wide-ranging direct placement experience and an unwavering dedication to white glove service, we have found that by utilizing a truly collaborative and personalized approach that we are able to solve even the most complex staffing challenges that hospitals face today.