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Nurse Case Manager - Poughkeepsie, United States - Nuvance Health
Description
Nuvance Health has a network of convenient hospital and outpatient locations - Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care.
Position Summary:
Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery of effective and efficient patient care.
Paces the case from physiological and economic perspectives.
Has overall accountability for the utilization management and transition management for patients within the assigned caseload.
Partners with Social Workers and collaborates with other health care team members to identify appropriate utilization of resources and to ensure reimbursement.
Utilizes criteria to confirm medical necessity for admission and continued stay.
With the patient, family and health care team, creates a discharge plan appropriate to the patient's needs and resources.
Essential Duties and Responsibilities:
Ability to form positive, collaborative relationships with hospital staff, patients and families.
Ability to effectively negotiate with internal and external providers of patient care services. Must have analytical abilities to assist in obtaining solutions to problems.
Must be able to work independently and prioritize work. Must be able to manage multiple priorities.
Basic knowledge of computers and clinical applications.
Ability to problem solve in a proactive, creative manner using sound judgment based on factual information and clinical knowledge.
Ability to effectively negotiate with internal and external providers of patient care services.
Language:
Ability to speak and write English to the extent necessary for safe and efficient performance of the job.
Minimum Requirement: 3 years experience in acute care. Must have Associate's Degree or BSN preferred. Must have current RN license.
Preferred experience in Utilization Review/Management.
Location:
Vassar Brothers Medical Center
Work Type:
Per Diem
Standard Hours: 8.00
FTE:
Work Schedule:
DAY 1
Work Shift:
Day Shift (8-4:30) 3 Full shifts per month
Org Unit: 1190
Department:
Care Coordination
Exempt:
No
Grade:
U12
Salary Range:
$ $ Hourly
EOE, including disability/vets.
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business.
