Case Manager RN - Inpatient Units - Brooklyn Methodist -Days

Discover Where Amazing

Works

Case Manager - RN -

Inpatient Units- Brooklyn Methodist -

Days

Located in Park

Slope, Brooklyn, this acute-care teaching hospital has been

providing outstanding medical care to the surrounding communities

for over 135 years.

The Case

Manager is responsible for all aspects of discharge planning and

utilization management / review for an assigned group of patients to

determine the appropriateness of the admission and continued stay,

assist in the development of the plan of care; ensure that the plan

is implemented timely and identify the expected length of stay

(ELOS). The Case Manager works collaboratively with physicians,

social workers, clinical nurses, home care services, and other

members of the interdisciplinary team. The Case Manager actively

participates in specific clinical initiatives focused on reducing

the length of stay (LOS), improving efficiency and quality, and

ensuring resource utilization is

appropriate.

Case

manager / utilization manager :  Responsible for an average of

60-70 medical / surgical daily admissions that requires risk

identification and clinical reviews.  A utilization nurse

completes no less than 20 initial clinical reviews daily.

Responsibilities also

includes :

Completing

100% clinical reviews for managed care, Medicare and Medicaid

admissions

• Completing

concurrent and retrospective reviews

Communicating with physicians and the inpatient case

management teams on patients who do not meet initial inpatient

criteria or continued inpatient stay

Coordinating expedited appeals for inpatient denials with

attending physicians and insurance providers 

/ >

• Ensuring organization resources are being

utilized appropriately

• Completing

patient assessments within 24 hours

Coordinating safe and appropriate post-acute care plans

/ >

• Obtains authorizations from managed care

companies for post-discharge

services.

There is an onsite

home care agency and a transfer and authorization center that can

facilitate the referral

process.

This is a

full time Monday – Friday position 8 : 30am

• 5 : 00pm

Position requires

weekend rotation and

holidays.

Preferred

Criteria

Master’s

degree

CCM

certification

Required

Criteria

Current

NYS RN license

Bachelor’s

degree in Nursing (BSN)

3-5

yrs Acute Care RN nursing

experience

Previous

experience in inpatient acute care case manager / discharge planning,

certified home health care (CHHA), Case Management experience,

utilization experience, or managed care organization experience

required

PRI

certification

BCLS

Certification

Join a

healthcare system where employee engagement is at an all-time high.

Here we foster a culture of respect, belonging, and inclusion.

Enjoy comprehensive and competitive benefits that support you and

your family in every aspect of life. Start your life-changing

journey

today.

Please note

that all roles require on-site presence (variable by role).

Therefore, all employees should live within a commutable distance

to NYP.

NYP will not

reimburse for travel

expenses .

__________________

2024

“Great Place To Work Certified”

2024 “America’s

Best Large Employers” –

Forbes

2024 “Best Places to

Work in IT” –

Computerworld

2023 “Best

Employers for Women” –

Forbes

2023 “Workplace

Well-being Platinum Winner” –

Aetna

2023 “America’s

Best-In-State Employers” –

Forbes

“Silver HCM

Excellence Award for Learning & Development” – Brandon

Hall

Group

NewYork-Presbyterian

Hospital is an equal opportunity

employer.

style="text-align : inherit">

style="text-align : left">

Salary

Range :

style="text-align : inherit">

$118,134-$155,787 / Annual

style="text-align : inherit">

style="text-align : left">

It all begins with

you. Our amazing compensation packages start with competitive base

pay and include recognition for your experience, education, and

licensure. Then we add our amazing benefits, countless

opportunities for personal and

professional growth and a dynamic environment that embraces every

person. Join our team and discover where amazing

works.