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CASE MANAGER, RN

Beth Israel Medical Center
Mount Sinai Health System
Type Full time Posted 8/1/2014
Salary - n/a - Starts 10/29/2014
NY - New York (All) - New York Referral - n/a -    
 
Description

Mount Sinai Beth Israel Brooklyn

located in the Marine Park / Midwwod area has opening(s) for

 

Utilization Review/Discharge Planning, Case Managers

Full-time day shift and Full-time evening shift

 

Screen patients for acute hospital admission and continued stay.
Utilization review and communication with team in the Emergency Room regarding in-patient Medicare patients and readmissions.
Review one day and short stays, close follow-up with initial reviews and denials.
Provide retrospective review for short stay.
Communication with admissions, patient investigation on transferred patients to ensure authorization was provided.
Promote a safe and timely patient flow through from admission to discharge. 
Collaborate with the interdisciplinary team to coordinate appropriate discharge plan.
Coordinate patient and family education for discharge with the educator and interdisciplinary team members.
Data collection and analysis.

 

Licensure in NY State., Three years experience in acute care hospital, Good writing skills, computer efficient in Microsoft, Excel, and PowerPoint. Excellent communication and interpersonal skills. High level customer service skills. Flexibility, professional and courteous. Works independently.  PRI Certified required

 Experience in CM, UM, Quality or Coding. Certification in CM, UM, Quality, Risk, Coding or Milliman preferred.  Working knowledge of Milliman or Interqual preferred.  Knowledge of regulatory requirements preferred.