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The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure contractual compliance and optimal reimbursement by Third Party Payers.. Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital. The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence.. Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education.. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment.

mount sinai hospital

**JOB DESCRIPTION** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This includes, but is not limited to, daily supervision with the case managers, staff recruitment, retention, labor relations, daily staffing, employee performance evaluation, performance improvement, and staff education. The NCM Manager serves as a resource/mentor for Case Managers, Social Workers and other institutional personnel, and participates in the development and implementation of new Institutional initiatives. The NCM reports to and assists the Director of Case Management in providing ongoing education to Case Managers and other hospital personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure contractual compliance and optimal reimbursement by Third Party Payers. The Nursing Clinical Manager for Case Management has a collaborative reporting relationship with the Nursing Director for medicine and attends the monthly Nursing Leadership meeting. **RESPONSIBILITIES** <ul><li> Attends interdisciplinary rounds on units as warranted.</li><li> Meets with Case Managers, as warranted, to review medically complex and long stay cases; refer to physician advisor as indicated.</li><li> Collaborates with Social Work Supervisors to resolve discharge planning issues on assigned units.</li><li> Regularly reviews avoidable day data and provides follow-up with Case Managers on accuracy and completeness of avoidable days.</li><li> Oversees Case Managers interactions with physicians, nursing, social work, payors, patients and families. </li></ul>Clinical Leadership <ul><li> Develops, implements, and maintains professional standards.</li><li> Ensures that the overall Case Management program supports patient, unit and clinical service objectives.</li><li> Provides operational and clinical oversite to case managers to insure that all day to day activity supports the mission of efficient and clinically appropriate patient care.</li><li> Demonstrates integral involvement in the Nursing Department PI/QA program. Participates in monthly Nursing Department meetings.</li><li> Works with unit case managers, clinical nurse managers, physicians, and social work to facilitate Interdisciplinary Rounds to ensure compliance with the patient management plan and the appropriate length of stay for each patient.</li><li> Conducts rounds on the inpatient units as warranted to determine and improve hindrances to appropriate length of stay.</li><li> Collaborates with the Director of Case Management to maintain, review and update all Case Management specialty policies in accordance with hospital, professional and regulatory standards.</li><li> Supports the overall strategic goals of the Hospital and the Nursing Department.</li><li> Creates and maintains an environment of care where patients, families, staff and others are treated with respect, dignity and in a professional manner, promoting an environment respectful of cultural diversity.</li><li> Attends interdisciplinary rounds as necessary.</li><li> Meets with Case Managers to review medically complex and long stay cases: refer to physician advisor as required.</li><li> Collaborates with Social Work Supervisors to resolve discharge planning issues on assigned units.</li><li> Regularly reviews avoidable day data and follow-up with Case Managers on accuracy and completeness of avoidable days. </li></ul>**QUALIFICATIONS** Education Requirements BSN, Masters Degree in Nursing or health-related field. Experience Requirements Minimum of 5 years of case management experience and 5 -7 years of experience as a clinical nurse. Licensing and Certification Requirements (if applicable) License: RN (current) and Certification Issuing Agency: NYS/ Department of State Name: Basic Life Saver (BCLS) Issuing Agency: AHA Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital **ABOUT US** **Strength Through Diversity** Education The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by: Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential. Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination. Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers. At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally. Explore more about this opportunity and how you can help us write a new chapter in our history! **"About the Mount Sinai Health System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of N Compensation Information $0.0 / - $0.0 / Starting At: 0.0 Up To: 0.0

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