Care Management Nurse

Are you looking for a career that provides daily challenges and the opportunity to positively impact and make real, lasting differences in the lives of patients? If so Jamaica Hospital Medical Center may have just the right opportunity for you.

JAMAICA HOSPITAL MEDICAL CENTER, a major health care facility located in Queens, N.Y. is seeking an Care Management Nurse for the Population Health/Ambulatory Care department.

Jamaica Hospital Ranked Among 2024’s Best Hospitals in America and is the proud recipient of the Healthgrades 2024 America’s 100 Best Hospitals award. This premier distinction is only given to hospitals that rank in the top 5% in the nation for overall clinical excellence. It has been accredited as the first and only Comprehensive Stroke Center (the highest designation of stroke care) in Queens, NY by the Joint Commission. Our hospital is expanding. Some of our recent projects including the modernization of our Emergency Department, and our affiliation with Memorial Sloan Kettering Cancer Center.

In addition to our other accolades, Jamaica Hospital’s Comprehensive Stroke Center has also received the Healthgrades “Neuroscience Excellence Award” from 2019 to 2022 and the “Stroke Care Excellence Award” from 2017 to 2022. The American Heart Association has also recognized stroke care at Jamaica Hospital with the “Gold Plus” award in 2021 and 2022

Job Summary:

• The Care Transition Nurse plays a critical role in ensuring seamless transitions for patients moving between different levels of healthcare settings, such as from hospitals to ambulatory clinics to home care or rehabilitation facilities. This position includes medication reconciliation post-discharge from hospital, follow-up after emergency department (ED) visits for multiple chronic conditions, and follow-up after hospital discharges.
• The Care Transition Nurse will work with the high risk, high cost and complex patient cohorts to better manage their chronic conditions, medications, health-related social needs, referrals, and all care transition-related activities

Job Responsibilities:

• Management of Complex patients with multiple chronic conditions:
• Will be part of the care team in managing multiple chronic conditions via care plans developed by the patients’ PCP.
• Outreach and monitoring of condition, medication management between visits to optimize medical care.

Follow-Up After ED Visits:

• Conduct follow-up calls and visits for patients with multiple chronic conditions to ensure they receive appropriate care and avoid readmissions.
• Assess patient needs and coordinate necessary services, such as home health care or specialist referrals.
• Monitor patient progress and adjust care plans as needed.

Follow-Up After Hospital Discharges:

• Coordinate with healthcare providers to ensure continuity of care and monitor patient progress post-discharge.
• Develop individualized care plans that address patient-specific needs and goals.
• Facilitate timely follow-up appointments with primary care providers and specialists.

Patient Education:

• Educate patients and their families on post-discharge care instructions, medication management, and the importance of follow-up appointments.

Required Skills/Experience:

• Experience: Minimum of 2 years of clinical nursing experience, preferably in a hospital or managed care setting.
• Skills: Strong clinical assessment skills, excellent communication and interpersonal skills, ability to work collaboratively with a multidisciplinary team, and proficiency in electronic health records (EHR) systems.
• Certifications: Certification in Care Coordination and Transition Management (CCTM) is preferred.
• Proficiency in PC and EMR documentation.
• Excellent communication skills, both written and verbal

Qualifications:

• Valid RN license in New York State.
• BSN required
• Previous experience in care management or related field preferred.
• Strong organizational and communication skills.
• Ability to work collaboratively in a fast-paced environment.
• Compassionate and patient-centered approach to care.
• Prior hospital experience a plus

Why Jamaica Hospital?

• Join a premier institution recognized for its clinical excellence and innovation.
• Work in a 402-bed hospital with a large culturally diverse network of community-based ambulatory care centers and a skilled nursing facility.
• Be part of a team at a Level 1 trauma center with over 120,000 ER visits and a recently expanded Pediatric ED.
• Conveniently located near JFK International Airport and close to Manhattan.

If you are ready to make a meaningful impact in patient care and be part of a leading healthcare institution, apply today!

Jamaica Hospital Medical Center is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Type: Full-time

Pay: From $53.17 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have prior Care Management experience?

Education:

• Bachelor's (Required)

Experience:

• Clinical Nursing: 2 years (Required)

License/Certification:

• NYS RN License (Required)

Work Location: In person

Salary : $53