RN Care Manager Job Village of Nyack New York USA,Nursing

City/State:
Nyack, New York

Department:
Care Management

Work Shift:

Day

Work Days: MON-FRI, ALTERNATING WEEKENDS AND HOLIDAYS

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

Learns 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…