NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge.
Position Summary:
We have an exciting opportunity to join our team as a Care Manager (RN). In this role, the successful candidate coordinates, negotiates, procures, and manages the care of patients by providing focused care coordination across the acute care continuum. Evaluates appropriate clinical resource utilization, and assesses patients for transitioning to the next appropriate level of care through review of patient records and information derived from interdisciplinary rounds. Collaborates with the health care team to ensure the achievement of quality outcomes for patients/families.
Job Responsibilities:
- Identifies cases that require peer review in accordance with the clinical indicators and criteria developed by the clinical department.
- Applies customary protocols, pathways, evidence-based processes and other means of managing patient care.
- Supports the mission, philosophy, standards, goals and objectives of NYU Hospitals Center and Care Management Program.
- Communicates the outcome of chart review and managed care company telephonic review with the health care team as appropriate.
- Acts as advocate/facilitator in all cases with insurance related issues, delays in treatments and/or diagnostic tests.
- Participates in departmental, interdisciplinary, hospital and Medical Board committees as appropriate.
- Assesses patient and medical record documentation for appropriate acute admission and level of care, quality and safety indicators, and plans for discharge.
- Performs systematic assessment and reassessment of patient and family/significant other considering clinical presentation, cultural and religious influences, individual experiences, available resources, environmental factors as well as health behaviors and practices.
- Formulates the plan of care, along with the patient and family, based on communication with the attending physician(s), expected goals of care and length of stay.
- Works collaboratively with attending physician, consulting physician(s) and other disciplines to identify, develop, implement and coordinate an appropriate plan of care.
- Assesses patient and family responses to interdisciplinary plan of care and care management interventions, and adapts interventions to achieve optimal outcomes.
- Documents assessments, findings, progress, interventions and recommendations in a care management software system and/or medical record according to established standards.
- Contributes to the development of new strategies to address transitional planning needs of specific assigned patient populations.
- Participates in development of quality indicators and analysis of such indicators per departmental quality & performance improvement plan.
- Uses evidence-based practice to drive improvement strategies.
- Facilitates effective coordination of interdisciplinary unit/physician team rounds.
- Facilitates timely and appropriate communication among attending physicians, nurse practitioners, physician assistants, patients, family members, other members of the health care team, external providers and payers.
- Ensures identification of variances and the development of appropriate contingency plans for each phase of care.
- Effectively communicates information relative to a potential denial to the appropriate members of the health care team.
- Coordinates discharge appeals or issuance of Hospital Notices in accordance with State and Federal Regulations and departmental guidelines.
- Educates nursing, medical and ancillary staff about care management role, relevant clinical criteria and resources available for patients.
- Facilitates patient/family knowledge of and participation in the plan of care.
- Participates in development and implementation of appropriate patient/family education material pertinent to population served.
- Maintains current clinical knowledge in area of review and patient population.
- Promotes own professional growth and development in care management role.
- Evaluates appropriateness of alternate level of care for optimal delivery of services to the patient.
- Communicates information documented in the medical record that identifies a potential event/occurrence to the Risk Manager.
- Serves as resource for education of patients, families, peers, staff and physicians.
Minimum Qualifications:
To qualify you must have a Professional Registered Nurse in New York State with current registration. Education: BSN required, or graduate of an accredited RN program with BS in related health care field. Experience: Three to five years clinical experience, acute medical-surgical preferred, or in the care of the population to be care-managed. Competencies: Evidence of excellent interpersonal skills, effective communication, negotiation and conflict management skills; creative problem solving and clinical leadership; change management, organizational and time management skills. Ability to apply critical thinking and clinical expertise toward achievement of specific outcomes. Previously demonstrated ability to foster strong collaboration with co-workers, peers, physicians, nursing, and ancillary departmental support staff. Knowledge of Microsoft Office and demonstrated proficiency in managing software such as Eclipsys Sunrise Manager, Canopy, and ECIN.
Required Licenses: Registered Nurse License-NYS, Basic Life Support Cert.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.
NYU Langone Health 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, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision.
NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $118,613.99 - $118,614.00 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need.
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