Case Manager

Location: white plains,NY

Fulltime

Job Summary

The purpose of the Case Manager, Sr. position is to work within a defined patient population to promote the achievement of optimal clinical and resource outcomes. Responsible for facilitating appropriate lengths of stay and reimbursement for all hospital admissions in accordance with its goals and objectives. Acts as the key information and education resource for the interdisciplinary team. Works to develop organization-wide approaches to problem solving. Analyzes current systems and variances to identify opportunities for improvement. Works to promote quality of care through collaboration with all service team members, patients and families. Works with the leadership team to align the goals and visions. Accountable for a designated patient caseload that is considered more complex and resource intensive. Plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources.

Job Description

Minimum Qualifications

Education: Bachelors of Science in Nursing (BSN) or Social Work (MSW) required; Masters degree preferred

Licenses/Certifications:

• Current and valid license to practice as a Registered Nurse in the state of Texas or
• Current and valid license as a Master Social Worker (LMSW) in the state of Texas required, LCSW preferred
• Case Manager Certification required

Experience / Knowledge / Skills:

• Three (3) years experience in utilization management, case management, discharge planning or other cost/quality management program.
• Minimum three (3) years of experience in hospital-based nursing or social work.
• Excellent interpersonal communication and negotiation skills.
• Demonstrated leadership skills.
• Strong analytical, data management and PC skills.
• Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.
• Understanding of pre-acute and post-acute venues of care and post-acute community resources.
• Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
• Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families.
• Effective oral and written communication skills.

Job Type: Full-time

Pay: $90,000.00 - $109,000.00 per year

Schedule:

• Monday to Friday

Experience:

• Nursing: 4 years (Required)
• Case management: 2 years (Required)

Ability to Relocate:

• White Plains, NY: Relocate before starting work (Required)

Work Location: In person