RN Case Manager Position Available In Queens, New York

RN Case Manager Fusion Solutions Inc.

Far Rockaway, NY Summary:

The RN Care Manager assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker, nurse and all members of the interdisciplinary team for the inpatient, Emergency Department and all patient care areas. This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the appropriate setting and level of care. The Care Manager must understand insurance and payment system regulations and requirements as they serve as a resource to third party providers.

Please Note:

Minimum of 4 years recent acute Medical Surgical, Psychiatric, ED nursing or prior case management experience. Current N.Y.S. licensed Registered Nurse with BS, BSN or equivalent. ACM or

CCM REQUIRED.

Patient Review Instrument (PRI) certification is

REQUIRED.

Knowledge of payer eligibility and reimbursement regulations and the impact on the continuum of care. Knowledge of screening criteria i.e. Inter

QUAL, MCG

criteria. Knowledge of discharge planning regulations and community resources to coordinate safe discharges from the inpatient units and the ED to outpatient settings. Excellent negotiation and interpersonal/communication skills and the ability to work effectively with others on the team to achieve desired outcomes. Organizational time management skills as evidenced by capacity to multitask and prioritize work. Ability to work in a collaborative partnership model with Social Workers and other members of the interdisciplinary team both internal and external.

Job Type:

Contract Pay:

$48.00 – $60.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Schedule:

Day shift Monday to Friday Ability to

Commute:

Far Rockaway, NY (Required) Ability to

Relocate:

Far Rockaway, NY:

Relocate before starting work (Required) Willingness to travel: 25% (Preferred)

Work Location:

In person