RN Case Manager

St. John's Riverside Hospital

• $75K — $90K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • NYS licensed RN
  • Bilingual in Spanish or community dominant language is a plus
  • Strong interpersonal skills with a focus on compassion and sensitivity
  • Proven ability to perform well under pressure
  • Demonstrated leadership capabilities and sound professional judgment
  • Experience in patient class, utilization review, case management, and discharge planning preferred
  • Familiarity with Allscripts, Interqual, or Milliman preferred
  • PRI certification preferred

Responsibilities

  • Assist patients and families in addressing psychosocial needs through assessments
  • Educate and coordinate with healthcare team members to develop discharge plans
  • Ensure resource use aligns with appropriate length of stay
  • Collaborate with multidisciplinary teams on treatment plans
  • Review admissions and ongoing stays against established criteria
  • Conduct referrals, maintain statistics, and perform insurance reviews
  • Identify and address quality of care issues

Benefits

  • Opportunity to work in a supportive team environment
  • Comprehensive involvement in holistic patient care
  • Access to continuing education and professional development
  • Flexibility in work settings and duties
  • Potential for career advancement within healthcare services
Full Job Description
Responsibilities

Assists in meeting the psychosocial needs of patients and families, through assessment of inpatients based on assignment. Educates, coordinates, and collaborates with nurses, physicians, Continuing Care Coordinators and interdisciplinary members of the Healthcare team, to assure an ongoing comprehensive discharge plan. Ensures appropriate use of resources within an appropriate length of stay. Collaborates with the multidisciplinary team on the patient's treatment plan. Reviews admissions and continued stays in accordance with established criteria. Conducts all adjunct procedures such as referrals to the Medical Director, keeps statistics, performs insurance reviews, and identifies quality of care issue.

Qualifications

NYS licensed RN. Ability to communicate Spanish or community dominant language is an asset. Effective professional rapport with physicians, patient, family/visitor, peers and supervisors with sensitivity and compassion. Demonstrates flexibility and creativity.

Must be able to function well under pressure.

Must have good leadership abilities and demonstrate good professional judgment.

Experience with patient class, utilization renew with case management and discharge planning preferred.

Experience with Allscripts, INterqual or Miliman preferred.

PRI certified preferred.

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