RN Care Manager - DH
- serp_jobs.job_card.permanent
Details
Client Name
White Plains Hospital - FE
Job Type
Permanent
Offering
Nursing
Profession
RN
Specialty
Case Manager
Job ID
34907728
Job Title
RN Care Manager - DH
Shift Details
Shift
Day - 8x5 - 08AM
Scheduled Hours
40
Job Order Details
Start Date
11 / 19 / 2025
Duration
Job Description
Job Title : RN Care Manager
Profession : Registered Nurse
Specialty : Case Management
Duration : Permanent
Shift : Days
Hours per Shift : 24 hours per week
Experience : 3 years clinical experience preferred; previous case management experience preferred
License : Registered Nurse license required
Certifications : BSN required; PRI Certification (to be obtained within 3 months of initial employment); Care Management certification preferred
Must-Have :Description :
The RN Care Manager performs the initial comprehensive assessment on admission in accordance with the Care Management Department policy.
The RN screens all patients by utilizing established tools for high-risk indicators to ensure high-risk patient populations receive appropriate supportive services for discharge to prevent readmission.
The RN assesses all populations for potential discharge planning needs.
The RN provides ongoing reassessment of needs throughout the hospital course.
The RN performs Utilization Review (UR) activity per department policy.
Essential Functions and Responsibilities include the following :
The RN understands and adheres to the Performance Standards, Policies, and Behaviors.
The RN completes a comprehensive initial assessment.
The RN performs multidisciplinary care coordination activities at the intra and inter-hospital level of care.
The RN performs transitional planning activities including patient / caregiver education and arrangement of all aftercare.
The RN facilitates commercial payer involvement and addresses high utilizers' root causes.
The RN communicates and collaborates all relevant patient information to appropriate health team members.
The RN ensures department goals of length of stay reduction, readmission prevention, denial reduction, and satisfaction improvement are realized.
The RN documents per department requirements.
The RN participates in Performance Improvement activities as needed.
The RN performs all Utilization Review activities per department policy, including commercial payer reviews, disposition determination, retro / self-audit, and admission clinical review.
The RN collaborates with all healthcare professionals to evaluate the needs and ensure the safe discharge of all patients, including inpatients and surgical outpatients.
The RN performs all other related duties as assigned.
Education & Experience Requirements :
BSN required for all RNs hired after January 1, 2018.
All RNs hired before January 1, 2018, will be required to obtain a BSN by December 31, 2021.
PRI Certification must be obtained within 3 months of initial employment.
Knowledge of healthcare financial, regulatory, and payer issues preferred.
Knowledge of state, local, and federal programs strongly preferred.
Experience in the use of Milliman / InterQual criteria is preferred.
Client Details
Address
20 Davis Ave County
City
White Plains
State
NY
Zip Code
10601
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