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$61/hr–$80/hr
Full-time
bachelor degree, postgraduate degree
Posted 12d ago
Apply by Aug 31
~40 hrs/week
Responsibilities
The Case Manager facilitates patient care from pre-admission through post-discharge by coordinating with the interdisciplinary team to ensure medically appropriate and cost-effective care. They are responsible for conducting utilization management, managing discharge planning, and ensuring compliance with regulatory standards.
Requirements
Candidates must hold a Bachelor's degree in Nursing and a current New York State Registered Professional Nurse license. A minimum of five years of clinical experience is required, with preference given to those with experience in utilization management or discharge planning.
Full job description
Job Description
Facilitates patient's hospitalization from pre-admission through post-discharge. Coordinates with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care. Assesses, plans, oversees and evaluates the appropriateness of care across the acute care continuum. Applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning.
Job Responsibility
Coordinates and facilitates patient care throughout hospitalization.Performs a case management intake assessment.Orients patient to the role of the case manager, the goals of care and expected length of stay.Discusses with attending physician and/or physician advisor the appropriateness of resource utilization, consultation and treatment plan.Participates in interdisciplinary patient care rounds.Discusses estimated length of stay, treatment and discharge plan with the attending physician, as indicated.Identifies and assists in removing barriers to patient care (variances) and resolves issues with appropriate departments and staff.Coordinates and facilitates transitional planning needs through the acute care continuum.Makes referrals to social work as identified through the high risk screening process using high-risk criteria,.Consults with the physician regarding physical therapy, nutrition, speech therapy, respiratory therapy and other ancillary services as needed.Collaborates with members of the interdisciplinary team to assess, plan, implement, coordinate and monitor services required to achieve quality patient care and resource management.Serves as liaison between patients, families, physicians, payers and other members of the interdisciplinary care team.Coordinates and facilitates the discharge planning process.Initiates discharge planning by assessing the patient's needs and documenting the assessment on the interdisciplinary care team.Works collaboratively with the physician and interdisciplinary team to determine the patient's need for continuing care services.Ensures interdisciplinary care plan and discharge plan are consistent with the patient's clinical course, continuing care needs and covered services.Conducts a case management assessment including the patient's physical, psychosocial and financial needs and issues.Interviews patient or designated agent to assess discharge-planning needs.Involves patient and/or family in discussion and planning for anticipated need for care following discharge.Ensures discharge plan is safe and timely.Completes paperwork and/or ensures paperwork is completed and distributed.Ensures patient and/or family are given information regarding their choices regarding transfer to another level of care according to regulatory standards.Ensures continuing care services including transportation, durable medical equipment, etc
are appropriately arranged for and financially approved.Performs concurrent utilization management.Reviews appropriateness of patient's admission, need for continued stay and discharge criteria using established criteria.Discusses with attending physician and/or physician advisor the appropriateness of resource utilization, consultation and treatment plan.Ensures patient meets acute care criteria during each in-patient day.Places patient on alternate level of care (ALC) status In concert with attending physician.Responds to third party payer requests for concurrent clinical information providing all relevant documentation to ensure reimbursement within expected time frames.Disseminates documents of non-coverage when appropriate
Ensures compliance with current state, federal and third party payer regulations.Works collaboratively with on-site reviewers to transition patients to appropriate discharge settings.Participates in quality management of patient care outcomes.Identifies and collects quality data including pre-established quality screens, NYPORTS and core measures.Identifies and reports quality issues to the department management.Ensures minimum quality standards are met each day of hospitalization.Documents case management process in the medical record.Documents on-going process of discharge planning including discharge assessment, plan and on-going evaluation and up-dates.Provides summary note at time of discharge synthesizing the discharge plan and follow-up care needs.Completes appropriate portions of Patient Discharge Instruction Sheet.Completes and facilitates completion of the Patient Review Instruments (PRI) with other disciplines.Completes case management intake assessment form.Completes relevant documents including Patient Transfer Form.Documents on-going case management progress notes in the medical record.Performs related duties, as required.*ADA Essential Functions
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Job Qualification
Bachelors Degree in Nursing, required. Masters Degree, preferred.Current license to practice as a Registered Professional Nurse in New York State.Patient Review Instruments (PRI) Certification, preferred. Certification in Case Management, preferred.Minimum five (5) years clinical experience as a registered nurse. Prior experience in utilization management and/or discharge planning, preferred. A strong clinical background and an understanding of the preparation and post procedure monitoring requirements for diagnostic/radiological and/or surgical procedures.PC literate. Knowledge of Microsoft Office, Excel, spreadsheet management required.
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*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
We’ve re-imagined what health care can be. Are you Made for this?
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
1997
Headquarters
Lake Success, NY
LinkedIn followers
279,616
Total funding
$2M
Northwell Health is New York State’s largest health care provider and private employer, with 28 hospitals, about 1,000+ outpatient facilities and more than 16,000 affiliated physicians.
At Northwell, we focus on cultivating an environment that inspires growth, empowers leadership, and encourages breakthroughs, not just in the communities we serve but in the careers of those who make an impact in the lives of so many. We are committed to our mission and our core values – including being Truly Inclusive. We value everyone’s perspectives, backgrounds and experiences. This is demonstrated in the work we do together, and how we care for each other, our patients, their families and the communities we serve.
We care for over two million people annually in the New York metro area and beyond, thanks to philanthropic support from our communities. Our 100,000+ employees – 19,000+ nurses and 5,000+ employed doctors, including members of Northwell Health Physician Partners – are working to change health care for the better.
We’re making breakthroughs in medicine at The Feinstein Institutes for Medical Research. We're training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies.
For information on our more than 100 medical specialties, visit Northwell.edu and follow us @NorthwellHealth on Facebook, X, Instagram and LinkedIn.
Interested in a career at Northwell Health? Visit Jobs.Northwell.edu and explore our many opportunities.
Offices: 2000 Marcus Ave, Lake Success, NY 11042, US · 1991 Marcus Ave, Lake Success, NY 11042, US · 30 7th Ave, New York, NY 10011, US · 100 E 77th St, New York, NY 10075, US · 270-05 76th Ave, New Hyde Park, NY 11040, US
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Based on 8398 listings with disclosed salaries, most healthcare jobs in New York pay between $66k–$164k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in New York right now?
There are currently 30,107 open healthcare positions in New York listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in New York?
Companies currently hiring include Northwell Health, Mount Sinai Health System, University of Rochester, CVS Health, Catholic Health, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in New York?
Yes — 3776 of the 30107 open healthcare positions offer remote or hybrid work (945 remote, 2831 hybrid).
How do I apply for Healthcare jobs in New York?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.