New York, New York
Saint Louis, Missouri, Missouri
Bel Air, Maryland
Grand Junction, Colorado, Colorado
Posted: 04-Nov-24
Location: New York, New York
Type: Full Time
Salary: $95,450 - $159,496.74 Annually
Required Education:
Internal Number: 3016139
Description
The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This includes, but is not limited to, daily supervision with the case managers, staff recruitment, retention, labor relations, daily staffing, employee performance evaluation, performance improvement, and staff education.
The NCM Manager serves as a resource/mentor for Case Managers, Social Workers and other institutional personnel, and participates in the development and implementation of new Institutional initiatives. The NCM reports to and assists the Director of Case Management in providing ongoing education to Case Managers and other hospital personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure contractual compliance and optimal reimbursement by Third Party Payers.
The Nursing Clinical Manager for Case Management has a collaborative reporting relationship with the Nursing Director for medicine and attends the monthly Nursing Leadership meeting.
Responsibilities
1. Attends interdisciplinary rounds on units as warranted.
2. Meets with Case Managers, as warranted, to review medically complex and long stay cases; refer to physician advisor as indicated.
3. Collaborates with Social Work Supervisors to resolve discharge planning issues on assigned units.
4. Regularly reviews avoidable day data and provides follow-up with Case Managers on accuracy and completeness of avoidable days.
5. Oversees Case Managers interactions with physicians, nursing, social work, payors, patients and families.
Clinical Leadership:
1. Develops, implements, and maintains professional standards.
2. Ensures that the overall Case Management program supports patient, unit and clinical service objectives.
3. Provides operational and clinical oversite to case managers to insure that all day to day activity supports the mission of efficient and clinically appropriate patient care.
4. Demonstrates integral involvement in the Nursing Department PI/QA program. Participates in monthly Nursing Department meetings.
5. Works with unit case managers, clinical nurse managers, physicians, and social work to facilitate Interdisciplinary Rounds to ensure compliance with the patient management plan and the appropriate length of stay for each patient.
6. Conducts rounds on the inpatient units as warranted to determine and improve hindrances to appropriate length of stay.
7. Collaborates with the Director of Case Management to maintain, review and update all Case Management specialty policies in accordance with hospital, professional and regulatory standards.
8. Supports the overall strategic goals of the Hospital and the Nursing Department.
9. Creates and maintains an environment of care where patients, families, staff and others are treated with respect, dignity and in a professional manner, promoting an environment respectful of cultural diversity.
10. Attends interdisciplinary rounds as necessary.
11. Meets with Case Managers to review medically complex and long stay cases: refer to physician advisor as required.
12. Collaborates with Social Work Supervisors to resolve discharge planning issues on assigned units.
13. Regularly reviews avoidable day data and follow-up with Case Managers on accuracy and completeness of avoidable days.
Qualifications
Bachelor of Science with a major in nursing required
Master's degree in nursing or healthcare-related field or be enrolled in a program preferred
Hospital In-Patient Experience Required
Minimum of 5 years of case management experience and 5 -7 years of experience as a clinical nurse.
Licensing and Certification Requirements
License: RN (current) and Certification Issuing Agency: NYS/ Department of State
Name: Basic Life Saver (BLS) Issuing Agency: AHA