Cayuga Health and its affiliates are the region's leading healthcare system and most trusted providers of integrated health services, empowering our people in our mission to equitably improve the well-being of the communities we serve. Our commitment to providing extraordinary healthcare begins with our team of extraordinary professionals who are continuously discovering clinical innovations and enhancing access to the most up-to-date facilities, equipment, technologies, and research protocols. Cayuga Health's commitment to our employees includes competitive compensation, comprehensive employee benefits programs, and the opportunity to explore and build a career in healthcare through our many professional development programs.
RN/LPN/LMSW- Case Manager: Emergency Department
RN/LPN/LMSW Case Manager is responsible for the delivery of comprehensive nursing care to a set of assigned patients at a specific point in time. This involves the assessment of patient and care team needs and the development, implementation and evaluation of an appropriate Plan of Care, making changes in response to changing patient needs.
RN/LMSW Case Manager; guides the utilization review process using recognized standards of care to assure appropriate medical necessity, level of care, patient status and related notifications are met.
RN/LMSW Case Manager; guides patient progression across the care continuum to ensure safe and timely transitions to the appropriate level of care.
Roles and Responsibilities:
-
Evaluates hospital admissions using evidence-based standards of care to assure care is medically necessary and delivered at the most appropriate level of care.
-
Ensures patient demographics, insurance, primary care provider, and advanced directives are up to date in EMR.
-
Asses the needs of the patient population in the ED and schedule appropriate outpatient follow up as necessary
-
Maintains working knowledge of the organizational and department objectives and goals and takes actions to achieve targeted outcomes.
-
Maintains current knowledge of federal, state and accreditation standards related to UR and Discharge Planning requirements.
-
Maintains high visibility and is readily approachable.
-
Is flexible in assuming other responsibilities not noted above.
Required Skills and Experience:
Education - Graduation from accredited Nursing program or Masters of Social Work program.
Expected to complete Case Management Certification - or equivalent - within 18 months of hire
Experience - Minimum 2 to 3 years' experience in an acute care hospital setting or similar health care case experience.
Knowledge of community-based organizations and strong communication, organizational, critical thinking and problem solving skills required.
Computer literacy and knowledge of EMR systems.
Demonstrates resilience in coping with challenging situations as well as the emotional stability and organizational skills necessary to meet the demands of the busy healthcare environment.
Licensure - Current unrestricted NY State Licensure RN/LPN/LMSW
Preferred Skills and Experience:
-
BSN in nursing preferred
-
Previous Utilization Review experience
- Case Management Certification preferred
Physical Requirements:
-
Ability to stand, sit or ambulate for long periods. Ability to mobilize freely around units, transport self to site locations, and perform required data entry into EMR and alternate data management systems. Ability to transport self to customer base.
Location and Travel Requirements:
Pay Range Disclosure:
-
$77,230.46to $95,450.40 per year
Cayuga Health System and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all.
We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics.
If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Cayuga Health Talent Acquisition team at talentacquisition@cayugahealth.org.