How To Apply
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Only applicants with the strongest skills match for this position will be considered.
The Case Manager serves as the driver of a collaborative, interdisciplinary process which coordinates, monitors, and plans health care services throughout n episode of illness to meet the individual needs of our patients in order to improve the quality of care, reduce costs of care and enhance patient satisfaction. The Case Manager accomplishes this by acting as a resource and guide for Mt. Sinai physicians, the entire care delivery team, patients and their families throughout the continuum of available health care services by effectively monitoring, evaluating and integrating direct clinical and supportive services in order to achieve and maintain optimal patient health status and expectations. The Case Manager ensures validity of accurate documentation of severity of illness (profiling) for the Saint Francis System by working with the physician in the concurrent review process. Utilizing a rules based approach to all decision making, the Case Manager assesses, plans, negotiates and procures the care/services for patients of all ages across the continuum to facilitate achievement of high quality, cost-effective patient outcomes. These activities are carried out in varying models specific to the dynamic needs within the established Clinical Program lines, but always guided by the Philosophy of the Division of Continuum of Care Management. The Standards of practice for Case Management (CMSA) and the Code of Ethics and Standards for Hospital Continuity of Care (AACC) are incorporated in all policies and activities.
This is a Full Time Monday thru Friday position
Education: Bachelor of Science in Nursing required; Masters preferred.
Experience: Five years of diversified, progressive experience in acute care and/or other settings within the continuum. Discharge planning, utilization management, home care experience beneficial.
Licensure: Current Registered Nurse - State of Connecticut
Certification: Certification in Case Management (CCM)/Certification in Continuity of Care - Advanced (A-CCC) preferred.
Skills: This position requires a person with a positive attitude who is self directed, pleasant, cooperative, assertive yet compassionate displaying a professional demeanor with patients, families, physicians, and fellow employees. This position requires the knowledge of nursing theory and principles and the sustained ability to remain calm, productive and focused under stress conditions. This position requires an in-depth understanding of and skill in using many nationally recognized medical utilization criteria sets, i.e. Milliman and Robertson, InterQual, and others as needed.
This position requires a through understanding of managed care methodologies, HCFA/OBRA and state of Connecticut regulatory compliance issues, and JCAHO accreditation accountabilities of the Continuum of Care. The Case Manager must possess the ability to use or learn to use computer software and hardware applications. The Case Manager must be able to function in a fast-paced, integrated interdisciplinary model of Patient Focused Care to improve patient care and outcomes.
Requires an RN with Case Management experience of 3-5 years, CCM or ACM preferred. BSN required. Experience in post acute care setting preferred, with a working knowledge of acute level rehabilition.
Conditions of Employment
- In adherence with our safety and compliance regulations, all new employees are subject to a criminal background check and health clearance (including drug testing through Occupational Health) prior to the first day of employment.
- The health and safety of our patients and employees is a top priority at St. Francis Care, which is why we have instituted mandatory flu shots effective Fall 2013. Exemptions for medical and religious reasons will be evaluated on an individual basis.
- Please be aware all St. Francis Care facilities are smoke and tobacco free
Equal Employment Opportunity
Saint Francis Care is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of age, sex, sexual orientation, race, color, creed, religion, ethnicity, national origin, alienage or citizenship, disability, marital status, familial status, veteran status, or any other legal recognized protected basis under federal, state or local laws, regulations or ordinance.