Case Manager, Registered Nurse
In this role, the Case Manager, RN assists with services that help the patient gain access to needed medical, social, educational, and other services. This includes direct assistance in gaining access to services, coordination of care, oversight of the entire case, and linkage to appropriate services. Case Managers assess the patient in determine service needs; develop an individualized integrated care plan, refer and coordinate activities to help the patient obtain needed services and effective discharge planning.
Requirements:
- NYS Registered Nurse license
- BSN required
- Minimum of 1-2 years of clinical experience in nursing; preferably in hospital case management.
- Experience with InterQual and Milliman Care Guidelines.
- Knowledge in DRGs and GMLOS
- Managed Care and Regulatory Requirements preferred.
- In addition, knowledge of regulatory guidelines governing hospitals. Medicare, Medicaid, Island Peer Review Organization (IPRO) and other Third Party criteria and standards as applicable.
The employee will be a member of New York State Nurses Association (NYSNA) union.
If you feel your background aligns with BronxCare Health System and our openings for qualified nurses, APPLY TODAY!
Job Type: Full-time
Pay: From $112,572.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Weekly schedule:
Application Question(s):
- Do you currently possess skills related to InterQual and Milliman Care Guidelines. Knowledge of DRGs and GMLOS?
- Are you able to work on-site or in-person?
Education:
Experience:
- Nursing: 2 years (Required)
Work Location: In person