Catholic Health

Review new admissions and continued stay patients to determine whether MCG criteria is met.. Engage physicians to establish the optimal DRG, length of stay and expected date of discharge.. Interface with representatives of third party payors to assist with the certification process and the discharge planning process, responding to requests for reviews in a timely fashion to avoid denials.. Passion for Case Management 3+ Years of diverse RN experience Critical Care, Home Care, and/or Case Management experience preferred Education: Graduate of an accredited School of Nursing required Bachelors of Science in Nursing (BSN) degree preferred Licensure: New York Registered Nurse (RN) License & Registration Certification: Case Management Certification preferred; PRI Certification preferred. In addition to the estimated base pay provided, employees are eligible for generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

care manager

Overview:
At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace.

Job Details:
Our Care Managers will:<ul><li style="margin-bottom: 8.25pt;">Educate staff, physicians, patients, and families in the case management process.</li><li style="margin-bottom: 8.25pt;">Review new admissions and continued stay patients to determine whether MCG criteria is met.</li><li style="margin-bottom: 8.25pt;">Engage physicians to establish the optimal DRG, length of stay and expected date of discharge.</li><li style="margin-bottom: 8.25pt;">Interface with representatives of third party payors to assist with the certification process and the discharge planning process, responding to requests for reviews in a timely fashion to avoid denials.</li><li style="margin-bottom: 8.25pt;">Review records and collaborate with the interdisciplinary team to obtain information about all aspects of the patients, transmitting information to third party payors to avoid denials.</li><li style="margin-bottom: 8.25pt;">Participate in interdisciplinary rounding and identify areas for improvement.</li><li style="margin-bottom: 8.25pt;">Facilitate communication between patients, families, and social work to ensure safe and appropriate discharge plans.</li><li style="margin-bottom: 8.25pt;">What you'll bring:<ul><li style="margin-bottom: 8.25pt;">Passion for Case Management  </li><li style="margin-bottom: 8.25pt;">3+ Years of diverse RN experience </li><li style="margin-bottom: 8.25pt;">Critical Care, Home Care, and/or Case Management experience preferred</li><li style="margin-bottom: 8.25pt;">Education: Graduate of an accredited School of Nursing required</li><li style="margin-bottom: 8.25pt;">Bachelors of Science in Nursing (BSN) degree preferred</li><li style="margin-bottom: 8.25pt;">Licensure: New York Registered Nurse (RN) License & Registration</li></ul>Certification: Case Management Certification preferred; PRI Certification preferred </li></ul>

Posted Salary Range:
USD $53.56 - USD $58.07 /Hr.

 :
St. Joseph Hospital is a community hospital that provides comprehensive inpatient, outpatient, critical care and surgical services.  St. Joseph Hospital is proud to hold The Joint Commission Gold Seal of Approval, signifying full accreditation by the nation's predominant standards-setting body in health care. Amongst many quality achievements, St. Joseph is also recognized by the American Heart Association and American Stroke Association for GOLD quality achievements for both Stroke and AFIB.  In fact, St. Joseph is the first hospital on Long Island to earn the AFIB GOLD Quality Achievement Award.This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any differential pay or other forms of compensation that may be applicable to this job, and it does not include the value of benefits.At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, employees are eligible for generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

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