6 care manager rn jobs found

Job Summary The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).  Core Job Responsibilities Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services). Completes comprehensive assessment using the DOH approved tool to determine eligibility of medically necessary services....

Job Summary The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).  Core Job Responsibilities Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services). Completes comprehensive assessment using the DOH approved tool to determine eligibility of medically necessary services....

Job Summary Under the general supervision and direction of the Cardiac Cath Lab Manager or Charge Nurse operates the x-ray equipment involved in performing a cardiac catheterization in accordance with the New York State Radiology Standards.  Also renders direct patient care in accordance with the Code of Ethics for nurses, and standards of care, mission and philosophy, and hospital policies and procedures. Core Job Responsibilities Responsible for operating the x-ray equipment Assists the cardiologist and nurse in delivering direct patient care Functions in sterile field environment:  setting up tables, prepping patients and scrubbing/assisting cardiologist. Operates hemodynamic monitors, computers, runs tracing and documents events during procedures Assists in restocking in the unit Assists the CV-RN in aspects of the nursing process to direct patient care through observation, assessment and...

Job Summary The Case Management Supervisor provides oversight for the day to day operations of the Case Management department and provides education, clinical supervision and support to the Case Management team as needed.  Follows the mission, vision, values, policies and procedures of Mohawk Valley Health System.  Core Job Responsibilities Ensures that the Case Management team works effectively and efficiently with the interdisciplinary health care team to meet departmental and organizational goals. Handle scheduling, distribute case assignments or instructions, and monitor work for quality, completeness, and client/patient satisfaction.  Handles call outs and PTO requests.   Supervise assigned Discharge Planners and Nurse Case Managers within scope of license.    Serves as a resource to Case Management, ensuring patients have safe, timely and appropriate discharge plans.  Oversees collaboration with MVHS sites and other facilities and services to arrange...

Job Summary The Nurse Educator assesses the educational needs of nursing staff, students and others in order to plan and deliver orientation and continuing education. Serves as a resource by mentoring staff and monitoring/evaluating clinical competencies to assure the highest quality clinical outcomes and safety. Participates in committees to facilitate and reinforce the implementation of evidence based care. Ensures that nurses are in full compliance with regulatory standards. Acts as a role model to all staff. Core Job Responsibilities A Nurse Educator is a highly experienced, registered nurse who uses their knowledge, skills and expertise to provide clinical education and professional development to nursing staff.  Plans, develops, implements and evaluates educational programs for the staff, the hospital and the community. Contributes to the professional development of peers and colleagues through innovative programs in both a classroom setting and on the...

Job Summary The RN - Clinical Risk Manager (“CRM”) is responsible for identifying, assessing, and mitigating risks across the MVHS system while enhancing patient safety and quality of care.  This position will administer MVHS’s risk management program on a day-to-day basis, documenting, managing and analyzing risk management data, conducting proactive risk assessments, delivering targeted risk management education, and providing risk management consultation to ensure compliance with regulatory standards, promoting a culture of safety, throughout the organization. Responsible for management of pending insurance claims and partnering with brokers and insurers.  Core Job Responsibilities Coordinates MVHS’s clinical risk management program to meet the system’s needs in a manner that fulfills our mission and strategic goals while complying with regulations, laws and accreditation standards.  Follows a comprehensive enterprise risk management approach in risk...