Rn case manager
Serves as liaison between the patient and facility / physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge.
Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient.
Job Responsibility
Facilitates patient management throughout hospitalization. Participates in patient management rounds and patient centered meetings.
Identifies potential delays and resolves issues with appropriate departments. Identifies appropriate utilization of Social Work Services and makes referrals when appropriate.
Confers with physician regarding referrals for Physical Therapy, nutrition, speech and swallow.
Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team.
Serves as a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement issues.
Works with on-site screeners in transitioning patients to appropriate post discharge settings. Collaborates with payers, providing all necessary clinical documentation for the maximization of benefits.
Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. Collaborates with and provides feedback to the primary care physician and multidisciplinary team regarding patient's status with regard to length of stay, utilization of resources and discharge status.
Provides support to the in-patient health care team as well as to patient and family regarding all aspects of admission, hospitalization and discharge plan.
Involves patient and / or family in discussion and planning for anticipated need for care following discharge. Ensures patient and / or family are given information regarding their choices regarding transferring the patient to another level of care according to regulatory standards.
Performs concurrent utilization management using Interqual criteria. Conducts chart review for appropriateness of admission and continued length of stay.
Contacts and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course.
Ensures compliance with current state, federal, and third party payer regulations. Identifies patients for Alternate Level Care (ALC) care list and notifies appropriate health team members.
Communicates with insurance companies and physicians regarding utilization issues. Utilizes important message from Medicare (IMM) when appropriate.
Ensures managed care reviews are up to date and accurately reflect patient's clinical progress and acute needs.
Participates in the quality management of patient care outcomes. Submits data to management regarding case management and / or quality initiatives.
Participates in data collection regarding patient's length of stay, utilization of clinical resources, IPRO citations including appropriate recommendations and re-admission within 30 days.
Initiates appropriate discharge planning as supported by initial assessment at time of admission Reviews patient's chart.
Assesses each patient physically, psychosocially and financially. Assesses patient's support system to facilitate appropriate discharge to community.
Substantiates, with the physician, the need for home care services. Coordinates procurement of any supplies, equipment or home lab work needed by patient to evaluate discharge.
Arranges for post-hospital transportation, when indicated. Interacts and coordinates with community agencies, families, vendors facilities and institutions to facilitate patient discharge.
Documents the case management process in the medical record. Completes and documents a psychosocial assessment on the patient.
Documents on-going processes of patients' hospitalization. Documents finalized discharge plan and disposition. Completes applicable areas of the Patients Discharge Instruction Sheet and the Patient Transfer Sheet.
Ensures Patient Review Instrument (PRI) is completed and reflects clinical profile of the patient. Ensures case management sheet is current and accurate.
- Performs related duties, as required.
- ADA Essential Functions
Job Qualification
- Bachelor's Degree in Nursing, required.
- Current license to practice as a Registered Professional Nurse in New York State.
- Case Management Certification, preferred.
- Minimum of one (1) year related experience, required. Experience in case management and clinical pathways, variance analysis and trending, quality management / utilization review and home care / discharge planning, preferred.
- Keeps abreast of developments in the field and serves as a resource to other staff.
- Additional Salary Detail
The salary range and / or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.
Related Jobs
Rn case manager
Serves as liaison between the patient and facility / physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge.
Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient.
Job Responsibility
Facilitates patient management throughout hospitalization. Participates in patient management rounds and patient centered meetings.
Identifies potential delays and resolves issues with appropriate departments. Identifies appropriate utilization of Social Work Services and makes referrals when appropriate.
Confers with physician regarding referrals for Physical Therapy, nutrition, speech and swallow.
Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team.
Serves as a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement issues.
Works with on-site screeners in transitioning patients to appropriate post discharge settings. Collaborates with payers, providing all necessary clinical documentation for the maximization of benefits.
Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. Collaborates with and provides feedback to the primary care physician and multidisciplinary team regarding patient's status with regard to length of stay, utilization of resources and discharge status.
Provides support to the in-patient health care team as well as to patient and family regarding all aspects of admission, hospitalization and discharge plan.
Involves patient and / or family in discussion and planning for anticipated need for care following discharge. Ensures patient and / or family are given information regarding their choices regarding transferring the patient to another level of care according to regulatory standards.
Performs concurrent utilization management using Interqual criteria. Conducts chart review for appropriateness of admission and continued length of stay.
Contacts and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course.
Ensures compliance with current state, federal, and third party payer regulations. Identifies patients for Alternate Level Care (ALC) care list and notifies appropriate health team members.
Communicates with insurance companies and physicians regarding utilization issues. Utilizes important message from Medicare (IMM) when appropriate.
Ensures managed care reviews are up to date and accurately reflect patient's clinical progress and acute needs.
Participates in the quality management of patient care outcomes. Submits data to management regarding case management and / or quality initiatives.
Participates in data collection regarding patient's length of stay, utilization of clinical resources, IPRO citations including appropriate recommendations and re-admission within 30 days.
Initiates appropriate discharge planning as supported by initial assessment at time of admission Reviews patient's chart.
Assesses each patient physically, psychosocially and financially. Assesses patient's support system to facilitate appropriate discharge to community.
Substantiates, with the physician, the need for home care services. Coordinates procurement of any supplies, equipment or home lab work needed by patient to evaluate discharge.
Arranges for post-hospital transportation, when indicated. Interacts and coordinates with community agencies, families, vendors facilities and institutions to facilitate patient discharge.
Documents the case management process in the medical record. Completes and documents a psychosocial assessment on the patient.
Documents on-going processes of patients' hospitalization. Documents finalized discharge plan and disposition. Completes applicable areas of the Patients Discharge Instruction Sheet and the Patient Transfer Sheet.
Ensures Patient Review Instrument (PRI) is completed and reflects clinical profile of the patient. Ensures case management sheet is current and accurate.
- Performs related duties, as required.
- ADA Essential Functions
Job Qualification
- Bachelor's Degree in Nursing, required.
- Current license to practice as a Registered Professional Nurse in New York State.
- Case Management Certification, preferred.
- Minimum of one (1) year related experience, required. Experience in case management and clinical pathways, variance analysis and trending, quality management / utilization review and home care / discharge planning, preferred.
- Keeps abreast of developments in the field and serves as a resource to other staff.
- Additional Salary Detail
The salary range and / or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.
Case Manager
What You'll Be Doing
Case Manager, RN is responsible for the interdisciplinary planning, coordination, implementation and evaluation of health care services.
What We're Looking For
- Valid NJ RN Licensure with 2 + years nursing and case management experience.
- Demonstrated people / interpersonal skills.
- Ability to communicate clearly. Ability to handle confidential information
Full Time 8a-4 : 30pm Monday - Friday
- An Equal Opportunity Employer*
Case manager
Job Details
Description
Seeking high energy and responsible individual to work collaboratively with men and women who have a Mental Illness to further support wellness, recovery, and independent living skills as well as provide a full range of case management, advocacy and liaison services in our Supported Housing Program in Brooklyn.
Position requires a Bachelor’s degree in the Human Services field; Masters preferred. This full time position is located in Brooklyn.
Qualifications
Skills
Behaviors
Motivations
Education
Required
Bachelors or better.
High School / GED or better.
Preferred
Masters or better.
Experience
Licenses & Certifications
Case manager
offers a variety of benefits to its staff members including , medical, paid-time off, free YMCA membership and more! Benefit eligibility is determined by an individual’s employment status (ie.
full-time or part-time), tenure and / or the number of hours scheduled to work. Click for more information.
How to
Case manager
Organization Overview : Sheltering Arms strengthens the education, wellbeing, and development of high-need children, adults, and families across the New York metro area.
We serve nearly 20,000 people a year from the South Bronx to Far Rockaway. Through compassion, innovation, and partnership, we respond to our community’s greatest needs and enable individuals to reach the greatest heights of their potential.
Joining our team is an opportunity to collaborate with hundreds of dedicated colleagues who represent diverse backgrounds and talents as we work together to make a measurable impact for our neighbors in need.
Every role at Sheltering Arms brings with it new opportunities for advancement and development so that team members can achieve their professional goals while helping others reach for theirs.
About ORR : The Office of Refugee Resettlement (ORR) is a program of the federal Administration for Children and Families (ACF) within the United States Department of Health and Human Services.
ORR programs provide short term home based transitional foster care and residential services for unaccompanied minors who immigrate to the United States without a parent or guardian.
Job Summary : The case manager will provide quality case management services and support to a caseload of eight unaccompanied children in Sheltering Arms’ in care.
Essential Functions
- Meet all the mandates of the Office of Refugee Resettlement and OCFS for case management services to unaccompanied children in the care of Sheltering Arms
- Interview children to assess their needs, immigration journey, health history and all required psychosocial information
- Develop, Implement and Carry out preliminary services plans, individualized service plans and service plan reviews in the required timeframes
- Locate, screen and assess children’s potential sponsors
- Ensure children are released to sponsors within 30 days of intake
- Maintain communication and coordination with each child’s sponsor and family about the child’s needs and well being
- Complete progress notes and maintain case records according to ORR contractual obligation and OCFS standards.
- Review cases regularly with the Lead Case Manager
- Collaborate with foster parents, nurses and social workers to meet health and mental health needs
- Coordinate planning with immigration, customs, legal representatives, homeland security and child advocates
- Advocate for the children and agency in Immigration court
- Attend required annual training and supplemental training to keep current with new developments and resources
- Conduct home visits
- Performs other duties as delegated
Qualifications :
- BSW / BA in related field
- Strong writing, relationship and organizational skills
- Bilingual in Spanish or Haitian creole required
- Must be able to work evenings and weekends