Care Manager RN - Newark Wayne Community Hospital (Per Diem)

Job ID REQ_93942 FACILITY Newark-Wayne Community Hospital LOCATION Newark, New York
As a Registered Nurse - Care Manager, your excellent interpersonal, leadership and collaboration skills ensure the appropriate allocation of hospital resources while maintaining the quality of care.
STATUS: Per Diem
LOCATION: Newark Wayne Community Hospital
DEPARTMENT: Care Management
SCHEDULE: Monday through Friday, Days; 1 weekend Day shift a Month
Bachelor's In Nursing Preferred
Three (3) years of acute hospital care, case management or utilization management experience preferred
Excellent oral and written communication and interpersonal skills
Good understanding of medical management techniques and processes
Knowledge of federal and state regulations (DOH, Medicaid/Medicare)
Strong organizational and problem-solving skills
Knowledge of third party payor and/or managed care payment principles helpful
Evaluation & Review. Evaluate hospital admissions to assure care is medically necessary and delivered at the most appropriate level; actively participate in the concurrent review process and communicate/intervene with third party payors to ensure reimbursement for services are provided while maintaining quality of care
Patient Management. Collaborate with providers, patients and families to address concerns and identify safe, effective discharge plans; intervene to identify and facilitate early referral for discharge planning; facilitate the discharge process by working with the healthcare team to identify alternative solutions to minimize system delays while ensuring a safe discharge plan
Recommendation. Coordinate and participate in the development, implementation and revisions of evidence based clinical pathways and guidelines; participate in driving clinical and administrative compliance with care guidelines and core measures; identify and recommend actions for improvement
Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran

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