Case Manager

2 months ago
7.5 Hour
Licensed / Certified / Registered Professions
Shift Details
Variable Shifts
CPH Main Campus
Education: Required Level
Associate's Degree
Education: Preferred Level
Bachelor's Degree
Education: Required Field
Education: Preferred Field
Licensure / Certification
<div><p style="margin: 0px;">Required: Current NYS licensure as an RN</p></div><p style="margin: 0px;">Preferred:&nbsp; Certification in Case Management</p>

Job Summary

Uses skilled interventions,( objective and subjective), clinical best practice knowledge and collaboration with the patient, physician, and multidisciplinary treatment team to pace care, achieve quality outcomes and negotiate appropriate reimbursement. Ensures the timely and seamless transition of patients through medically appropriate levels of care.

Core Responsibilities

Assessment:  Confers with attending physician/LIP as appropriate to make determination about the medical necessity for admission or continued hospital stay.  Performs assessment to determine patient care needs during the acute phase of illness and post discharge needs.


Collaboration: integrates patient information from social worker ,physician and other members of the healthcare team  to collaboratively determine potential and actual risks to recovery and the next level of care  Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payer, agencies to eliminate barriers to efficient delivery of care in the appropriate setting


Planning:  accountable for developing and coordinating the implementation of a  safe and timely discharge plan and alternative plan  following evidence based practice


Coordinates/facilitates : access to services and patient care progression using best practice interventions that will produce favorable patient outcomes within a target LOS


Regulatory : uses the Physician Advisor per protocol for complex issues related to physician practices, utilization review .



Documents  patient interventions and outcome timely and accurately in the medical record


Required Experience:

Required:  5   years experience working in acute care

Preferred:  Experience as a community health nurse or  case manager




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