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RN Care Manager – Utilization – Weekends Sign on Bonus

Rochester Regional Health

This is a Full-time position in Skaneateles, NY posted August 29, 2021.

SUMMARYAs a Registered Nurse
– Care Manager, your excellent interpersonal, leadership and collaboration skills ensure the appropriate allocation of hospital resources while maintaining the quality of care.This opportunity is eligible for a Sign-On of up to $2,500STATUS: Part TimeLOCATION: Rochester General HospitalDEPARTMENT: Utilization ManagementSCHEDULE: Part-Time, WeekendsATTRIBUTESRequires an Associate’s Degree in Nursing (ADN) and a Bachelor’s Degree in another discipline
– or a Bachelors in Nursing (BSN).AAS degree in Nursing required for all Sr.

Care Managers hired prior to August 1st, 2013.Three (3) years of acute hospital care, case management or utilization management experience preferredExcellent oral and written communication and interpersonal skillsGood understanding of medical management techniques and processesKnowledge of federal and state regulations (DOH, Medicaid/Medicare)Strong organizational and problem-solving skillsKnowledge of third party payor and/or managed care payment principles helpfulRESPONSIBILITIESEvaluation & Review.

Evaluate hospital admissions to assure care is medically necessary and delivered at the most appropriate level; actively participate in the concurrent review process and communicate/intervene with third party payors to ensure reimbursement for services are provided while maintaining quality of carePatient Management.

Collaborate with providers, patients and families to address concerns and identify safe, effective discharge plans; intervene to identify and facilitate early referral for discharge planning; facilitate the discharge process by working with the healthcare team to identify alternative solutions to minimize system delays while ensuring a safe discharge planRecommendation.

Coordinate and participate in the development, implementation and revisions of evidence based clinical pathways and guidelines; participate in driving clinical and administrative compliance with care guidelines and core measures; identify and recommend actions for improvementEDUCATION BS: Nursing (Required) LICENSES/CERTIFICATIONS BLS
– Basic Life Support
– American Heart Association (AHA); RN
– Registered Nurse
– New York State Education Department (NYSED) Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer.

Minority/Female/Disability/Veteran PHYSICAL REQUIREMENTS : M
– Medium Work
– Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.