Care Manager-Care Management-Per Diem-Day-Mount Sinai Queens
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Job Location:
Long Island, NY - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Care Manager-Care Management-Per Diem-Day-Mount Sinai Queens
Responsible for coordinating the care of the patients across the continuum. Ensuring and facilitating the achievement of quality clinical and cost outcomes; Negotiating procuring and coordinating services and resources needed by the patient and family.
Responsibilities
- Review charts for appropriateness of admission/continued stays
- Communicate with various departments when indicated to ensure tests that were ordered are completed and followed up on
- Follow up of abnormalities/delays: documentation investigation and treatment.
- Facilitate interdisciplinary rounds with house physician social service nursing and ancillary departments.
- Refer cases to Risk Management when appropriate.
- Concurrent and retrospective managed care reviews.
- Identify patients stability for Alternate Level of Care; obtain proper signatures and complete form after communication with attending.
- Enter appropriate ICD-9 codes and data entry codes for the Care Management worksheets
- Complete any forms necessary in the discharge planning process including (but not limited to) PRI M11Q 485 and as requested by the Social Service Department.
- When managed care denies payment for days during concurrent review contact the attending with this information. The attending can either evaluate for discharge or we will give telephone number and case number to facilitate attending contacting medical director for concurrent appeal of the denial
Qualifications
- Education:Registered professional nurse licensed to practice in the state of New York
- Experience:3 - 5 years acute care experience. Experience in Care Management duties and managed care reviews.
- License/Certification:Registered professional nurse licensed to practice in the state of New York. PRI Certification
Collective bargaining unit: SEIU Local 144-MSQ-NonRN
SEIU Local 144 at Mount Sinai Queens 140 - Care Management - MSQ Mount Sinai Queens
Required Experience:
Manager
Key Skills
- Corporate Paralegal
- Car Driving
- Design Engineering
- Electrical Controls
- Consultancy
About Company
Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled ... View more
