Job Description:

Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient’s discharge.

Responsibility:

  • Discharge planning in hospital settings (adult inpatient medical units) including assessment, identification of barriers to discharge, escalation, referrals to post discharge facilities and vendors (e.g Homecare, Rehab).
  • Performs concurrent utilization management using Interqual criteria.
  • Documents the case management process in the medical record.
  • Clinical Reviews to payors (use of MCG guidelines) as required.
  • Communication and collaboration with a multidisciplinary team.

Qualification:

  • Bachelor’s Degree in Nursing, required.
  • Current license to practice as a RN in New York State.
  • Case Management and NY PRI certification, preferred.
  • Experience in case management, inpatient hospital setting in medical units preferred.
  • Must be fully vaccinated against Covid, provide proof of vaccination with booster dose, if eligible per CDC guidelines, at time of submission

DirectShifts is an Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected by law.

Your Right to Work
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

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