RN Care Manager
The Judge Group Inc.

White Plains, New York

Posted in IT


Job Info


Location: White Plains, NY
Salary: 104K -130K
Description:

The Judge Group is looking for an RN Care Manager in White Plains, NY! Send your resume to marthur@judge.com for quickest feedback.

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 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

  • 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.


  • 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

    Salary:

    $97K - 130K Dependent of experience

    Now that you've spent the past five minutes reading through the information you might as well apply. Send your updated resume to marthur@judge.com

    I look forward to hearing from you,

    Mia Arthur

    National Healthcare Recruiter | The Judge Group

    Direct line: 610-617-1504

    Cell: 215-738-1043

    Contact: marthur@judge.com

    This job and many more are available through The Judge Group. Find us on the web at www.judge.com



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