Registered Nurse Care Manager

City/State: Nyack, New York Department: Care Management Work Shift: Day Work Days: MON-FRI, ROTATING SCHEDULE Scheduled Hours: 8:30 AM-5 PM Scheduled Daily Hours: 8 HOURS Hours Per Pay Period: 40 Pay Rate/Range: Starting at $125,000 Job Summary Collaboratively implements and facilitates patient care plans from pre-hospital to post-discharge while managing an assigned unit case load. Responsible for the assessment, planning and monitoring options and services to effectively provide an individualized plan for the patient across the continuum of care. Using independent judgment and discretion, the continuum must be reassessed as an ongoing process for the individual being served by the RN Care Manager and Social Worker Care Manager. Utilizes clinical knowledge and competence, positive communication skills (both verbal and written), problem solving and conflict resolution techniques, ability to effect change, strong skills in assessment, organization, and time management. Enforce the proper application of hospital policies and procedures regarding appropriateness and timeliness of clinical care given. Can effectively recommend that staff (either Medical or Nursing) be disciplined to the Department Chair when the care is below the standard level. Essential Functions Learn[s] all aspects of the position, including revised methods, within appropriate time frames. Attends in-services and educational programs provided by the Hospital and applies the information received. Identifies self development needs and uses available educational resources. Identifies and supports the delivery of positive customer service to all customers (patients, visitors, families, physicians, staff, etc.) Conducts all interactions in a confidential and courteous, professional and timely manner. Recognizes and responds appropriately to the needs of all customers (patients, visitors, families, physicians, staff, etc.). Conducts accurate assessments of patients. Determines appropriateness of admission, continued stay, potential for discharge planning interventions and level of care based on approval criteria and standards. Communicates with physician regarding appropriate documentation for justification. Reviews the patient’s plan of care in conjunction with the clinical pathway, individualizing clinical outcomes, and reviewing same with patient/family. Utilizes Clinical Pathways to coordinate resources and services to ensure continuity of care and optimum use of hospital resources; determines variances from pathway and refer to appropriate advisor. Monitors the appropriateness and quality of patient care; refers identified quality issues to the Performance Improvement Dept.; participates in concurrent Quality audits as directed. Maintains working knowledge of payer source requirements and government regulations, current knowledge of JCAHO, NYSDOH, IPRO, as well as knowledge of available community and health care resources. Acts as patient advocate, negotiating for needed services with third party payers, resolving patient complaints and/or redirecting to appropriate sources, and makes appropriate referrals within one working day. Participates in Performance Improvement activities in the Case Management Department, making recommendations to improve hospital-wide system. Participates in interdisciplinary rounds and develops a physician directed plan of care for post-hospital services in collaboration with the health care team, patient/family. Initiates home care referrals for provision of services, and arranges for supplies and equipment required by the patient. Plans transfers to nursing facilities, rehab and other acute care facilities and provides accurate information through completion of H/C PRI/Screen, HC 485, Level 11, etc. As appropriate for discipline (Registered Nurse versus Social Worker). Involves patient/family in the decision-making process regarding the selection of post-hospital care, and informs them concerning insurance coverage, co-payments and Medicare/Medicaid guidelines. May take orders from physicians including but not limited to discharge orders. Qualifications Bachelor Degree Preferred or Associate Degree Required 4-6 years Nursing experience in inpatient med surge, ICU or ER units Preferred Membership in a professional organization preferred. Qualities that include effective written and verbal communication skills, decision-making and problem solving skills, and comprehensive assessment skills. (Medium proficiency) Registered Nurse New York - New York State Board of Nursing Required HC-PRI Preferred PRI Preferred Montefiore Nyack Hospital is an equal employment opportunity employer. Montefiore Nyack Hospital will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. Team members benefit from: Robust compensation package, including competitive pay, medical benefits, tuition reimbursement and more Outstanding professional staff The clinical excellence of the Montefiore Health System Opportunities for growth through training and continuing education Equal Opportunity Employment Zero tolerance policy for discrimination, harassment and abuse Fair employment practices, including equal treatment in hiring, promotion and compensation WE CARE code of conduct for all team members ust 35 miles from New York City, Rockland County offers friendly communities, natural beauty, outdoor pursuits, convenient shopping and easy access to New York City. While Rockland County has plenty to offer, both the mountains and the beach are within a few hours’ drive. Rockland is an area full of history and has a vibrant arts scene with museums, theaters, music venues, cultural events and festivals. Learn more about cultural events in Rockland County. 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