Registered Nurse (RN) - Care Manager Acute Care
Company: Rochester Regional Health
Location: Rochester
Posted on: November 20, 2023
Job Description:
HOW WE CARE FOR YOU
At Rochester Regional Health, we are dedicated to getting health
care right. Our robust benefits and total rewards foster employee
wellbeing, professional development and personal growth. We care
for your career while caring for the community.
- Sign-On Bonuses up to $10,000 for Experienced RNs
- Same Day Pay through DailyPay
- Paid Vacation & Holidays
- Relocation Assistance
- Benefits Effective Date of Hire
- Tuition & Loan Assistance
- Employee Referral Program
- Free Parking---SUMMARYAs a Registered Nurse - Care Manager,
your excellent interpersonal, leadership and collaboration skills
ensure the appropriate allocation of hospital resources while
maintaining the quality of care.STATUS: Per DiemLOCATION: Newark
Wayne Community HospitalDEPARTMENT: Care ManagerSCHEDULE:
WeekendsATTRIBUTES
- Three (3) years of acute hospital care, case management or
utilization management experience preferred
- Excellent oral and written communication and interpersonal
skills
- Good understanding of medical management techniques and
processes
- Knowledge of federal and state regulations (DOH,
Medicaid/Medicare)
- Strong organizational and problem-solving skills
- Knowledge of third party payor and/or managed care payment
principles helpfulRESPONSIBILITIES
- Evaluation & Review. Evaluate hospital admissions to assure
care is medically necessary and delivered at the most appropriate
level; actively participate in the concurrent review process and
communicate/intervene with third party payors to ensure
reimbursement for services are provided while maintaining quality
of care - -
- Patient Management. Collaborate with providers, patients and
families to address concerns and identify safe, effective discharge
plans; intervene to identify and facilitate early referral for
discharge planning; facilitate the discharge process by working
with the healthcare team to identify alternative solutions to
minimize system delays while ensuring a safe discharge plan
- Recommendation. Coordinate and participate in the development,
implementation and revisions of evidence based clinical pathways
and guidelines; participate in driving clinical and administrative
compliance with care guidelines and core measures; identify and
recommend actions for improvementEDUCATION:LICENSES /
CERTIFICATIONS: -BLS - Basic Life Support - American Heart
Association (AHA), RN - Registered Nurse - New York State Education
Department (NYSED)PHYSICAL REQUIREMENTS:M - Medium Work - Exerting
20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of
force frequently, and/or greater than negligible up to 10 pounds of
force constantly to move objects; Requires frequent walking,
standing or squatting.For disease specific care programs refer to
the program specific requirements of the department for further
specifications on experience and educational expectations,
including continuing education requirements. Any physical
requirements reported by a prospective employee and/or employee's
physician or delegate will be considered for accommodations. PAY
RANGE:$70,000.00 - $95,000.00The listed base pay range is a good
faith representation of current potential base pay for a successful
full time applicant. It may be modified in the future and eligible
for additional pay components. Pay is determined by factors
including experience, relevant qualifications, specialty, internal
equity, location, and contracts.Rochester Regional Health is an
Equal Opportunity/Affirmative Action Employer.
Minority/Female/Disability/Veterans by a prospective employee
and/or employee's Physician or delegate will be considered for
accommodations.
Keywords: Rochester Regional Health, Rochester , Registered Nurse (RN) - Care Manager Acute Care, Healthcare , Rochester, New York
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