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RN Case Manager

Memorial Sloan • New York, NY, United States • $200k - $250k / year • 1w ago

RN Case Manager

Job Locations: USA-NY-New York

Requisition ID: 2024-81297

Category: Nursing - Case Management

Pay Range: $108,400.00-$173,400.00

Company Overview

The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it.

Job Description

RN Case Manager, Inpatient | New York, NY

Exciting Opportunity at MSK: Are you passionate about using your Case Management experience to support Oncology Patients? The MSK Case Management Department is made up of Registered Nurses (RNs), Licensed Practical Nurses (LPNs) and support staff. In this role, you will be responsible for evaluating and responding to clinical and administrative denials referred to Case Management Department for appeal. You will participate in the daily management of the denial through resolution after the appeal is filed. You will perform special chart reviews to support strategic planning initiatives, while working with a multidisciplinary team and acting as a liaison to insurance carriers and staff.

Role Overview:

Provide case management for a caseload of Oncology patients
Assess discharge planning needs at the patient's admission
Perform regular concurrent review on all patients and coordinate all needed services including home care to facilitate the safe and timely transition to the next level of care and to follow selected patients in the outpatient setting
Act as part of a multidisciplinary team to provide continuity of care throughout various stages of treatment and follow-up
Connect with physicians and clinical nursing staff regarding ongoing patient care
Work with insurance carriers and MSKCC billing departments to initiate appeals and acquire authorizations for treatment

Key Qualifications:

Current NYS Registered Nurse License/Registration and BSN preferred
At least 2-3 years of clinical hospital nursing experience
Managed care/UR/CM experience strongly preferred
Knowledge of state and federal regulations that govern health insurance coverage
Knowledge of Microsoft: Outlook, Word, Excel, and PowerPoint

Core Skills:

Excellent interpersonal, decision-making, and communication skills
Strong decision-making and negotiation skills

Additional Information:

Hours: Monday - Friday, Five Days x 8 hours remote hybrid or Four Days x 10 hours onsite. May require occasional Saturday work. (Training will be on site for the first 6+ months)
Location: 1275 York Avenue, New York, NY

Pay Range: $108,400.00-$173,400.00

Closing

MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job.

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