Memorial Sloan Kettering Cancer Center

RN Case Manager, Inpatient

Memorial Sloan Kettering Cancer Center • $125K — $200K *
New York, NY 10025In-Person
Hospitals & Medical Centers
Less than 5 years of experience
3 weeks ago
Job Overview by Ladders

Qualifications

  • Current NYS Registered Nurse License/Registration required
  • BSN degree required
  • At least 2-3 years of clinical hospital nursing experience
  • Managed care/UR/CM experience strongly preferred
  • Knowledge of state and federal regulations that govern health insurance coverage
  • Proficiency in Microsoft Outlook, Word, Excel, and PowerPoint

Responsibilities

  • Provide case management for a caseload of Oncology patients
  • Assess discharge planning needs upon patient admission
  • Perform regular concurrent reviews to coordinate necessary services
  • Act as part of a multidisciplinary team to ensure continuity of care
  • Communicate with physicians and clinical nursing staff about patient care
  • Work with insurance carriers and billing departments for appeals and authorizations

Benefits

  • Comprehensive health benefits for employees and their families
  • Retirement plan options with employer matching
  • Professional development and continuing education opportunities
  • Generous paid time off and holiday schedule
  • Employee wellness programs and resources
Full Job Description
Exciting Opportunity at MSK: Are you passionate about using your Case Management experience to support Oncology Patients? The MSK Case Management Department is made up of Registered Nurses (RNs), Licensed Practical Nurses (LPNs) and support staff. In this role, you will be responsible for evaluating and responding to clinical and administrative denials referred to Case Management Department for appeal. You will participate in the daily management of the denial through resolution after the appeal is filed. You will perform special chart reviews to support strategic planning initiatives, while working with multidisciplinary team and acts as a liaison to insurance carriers and staff.

Role Overview:
  • Provide case management for a caseload of Oncology patients
  • Assess discharge planning needs at the patient's admission
  • Perform regular concurrent review on all patients and coordinate all needed services including home care to facilitate the safe and timely transition to the next level of care and to follow selected patients in the outpatient setting
  • Act as part of a multidisciplinary team to provide continuity of care throughout various stages of treatment and follow-up
  • Connect with physicians and clinical nursing staff regarding ongoing patient care
  • Work with insurance carriers and MSKCC billing departments to initiate appeals and acquire authorizations for treatment


Key Qualifications:
  • Current NYS Registered Nurse License/Registration required
  • BSN degree required
  • At least 2-3 years of clinical hospital nursing experience
  • Managed care/UR/CM experience strongly preferred
  • Knowledge of state and federal regulations that govern health insurance coverage
  • Knowledge of Microsoft: Outlook, Word, Excel, and PowerPoint


Core Skills:
  • Excellent interpersonal, decision-making, and communication skills
  • Strong decision-making and negotiation skills


Additional Information:
  • Schedule: Five 8-hour shifts, Monday to Friday with on-call responsibilities; rotating weekend coverage
  • Location: 1275 York Avenue, New York, New York
  • Reporting to: Supervisor, Case Management


Helpful Links:
  • MSK Compensation Philosophy
  • Review Our Great Benefits Offerings


Pay Range: $125,400.00 - $200,700.00

FSLA Status: Exempt

About Memorial Sloan Kettering Cancer Center

Memorial Sloan Kettering Cancer Center is a world-renowned cancer treatment and research institution located in New York City. The center was founded in 1884 and has since become one of the leading cancer centers in the world, with a focus on patient care, research, and education. Memorial Sloan Kettering Cancer Center employs over 20,000 people, including doctors, nurses, researchers, and support staff, and treats over 500,000 patients each year. The center is known for its innovative treatments and cutting-edge research, which has helped to improve the lives of cancer patients around the world. Memorial Sloan Kettering Cancer Center is committed to finding a cure for cancer and improving the quality of life for cancer patients everywhere.
Learn more about Memorial Sloan Kettering Cancer Center
Size
20,000 employees
Industry
Healthcare
Founded
1884
* Ladders Estimates

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