Manager of Utilization Review and Case Management Professional Development

Manager of Utilization Review and Case Management Professional Development

Nursing --> Care Management

Patchogue, NY ID: 1162703_RR00121106 Full-Time/Regular

NYU Langone HospitalSuffolk is a 306-bed medical center, providing care to residents of eastern Long Island. The hospital facility is home to the Knapp Cardiac Care Centeran advanced heart disease diagnostic and treatment facilityas well as a modern ambulatory surgical pavilion with specialized services including women's imaging, a sleep laboratory, and bariatric surgery. Our Provisional Level 2 Trauma Center delivers comprehensive and specialized care for patients with traumatic injuries. The Stroke Center at NYU Langone HospitalSuffolk is designated by the New York State Department of Health as a Primary Stroke Center, with expert neurologists available to provide treatment 24 hours a day, 7 days a week. Additionally, NYU Langone HospitalSuffolk has multiple outpatient sites, including an outpatient wound care center, a hemodialysis center, and various primary care and specialty offices.

Position Summary: We have an exciting opportunity to join our team as a Manager of Utilization Review and Case Management Professional Development - Care Management - Full-. In this role, the successful candidate The Manager of Utilization Review and Case Management Professional Development is responsible for coordinating the functions of utilization review, discharge planning, and resource management to ensure, based on patient assessment, that care is provided in the most appropriate setting utilizing medically indicated resources. The hospitals case management model outlines a collaborative practice to improve quality through coordination of care impacting length of stay, minimizing cost, and ensuring optimum outcomes. The manager assures compliance with CMS Conditions of Participation regarding Utilization Review including implementation and annual review of the Utilization Management Plan and assisting with the coordination of the Utilization Management Committee. The manager is also responsible for ensuring compliance with all regulatory agency provisions of care regarding appropriate patient placement, discharge planning and patient needs for care, treatment, and services after discharge or transfer are met. The Manager of Utilization Review and Case Management Professional Development is responsible for the development and maintenance of the departmental orientation program and providing initial and ongoing education for the department. In conjunction with the Case Management Director is responsible for the departmental educational calendar.

Job Responsibilities:

Minimum Qualifications: To qualify you must have a Computer skills, EPIC, CarePort, Indicia, MCG, Power Point, Excel, Word. Required Licenses: Registered Nurse License-NYS

NYU Langone HospitalSuffolk provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

NYU Langone HospitalSuffolk is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View Know Your Rights: Workplace discrimination is illegal.

NYU Langone Hospital-Suffolk provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $84,956.87 - $127,888.28 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

View the Pay Transparency Notice for further details.