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 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 Include the Following:
1. Understands and adheres to the WPH Performance Standards, Policies and Behaviors
2. Completes a comprehensive initial assessment.
3. Performs all activities for multidisciplinary care coordination at the intra-hospital level of care and inter-hospital
level of care.
4. Performs all transitional planning activities including but not limited to:
Patient/caregiver education
Arrangement of all aftercare
Commercial payer involvement
High utilizer patient root cause
5. Communicates and collaborates all relevant patient information to appropriate health team members.
6. Ensures department goals of LOS reduction, readmission prevention, denial reduction, and satisfaction
improvement are realized.
7. Documents per department requirements.
8. Participates in Performance Improvement activities as needed.
9. Performs all UR activities per department policy:
Commercial payer reviews
Disposition determination,
Retro/self-audit
MC variance
Admission clinical review.
10. The RN Care Manager collaborates with all Health Care professionals to evaluate the needs and the safe
discharge of all geriatric patients including but not limited to inpatients, emergency department and surgical
outpatients.
11. Performs all other related duties as assigned
Job Type: Contract
Pay: $65.00 - $70.00 per hour
Expected hours: No less than 34.5 per week
Schedule:
- 12 hour shift
- Day shift
Work setting:
- Hospital
Application Question(s):
- Are you fully Vaccinated aganist Covid 19?
Experience:
- Case Manager: 2 years (Required)
- Utilization review: 1 year (Required)
License/Certification:
- NY RN State License (Required)
- BLS(AHA)Certification (Required)
Ability to Relocate:
- White Plains, NY 10601: Relocate before starting work (Required)
Work Location: In person