About this opportunity
NYU Langone lists this Supervisor-Care Management *BSN & RN Required; 3 years of relevant experience required* Mineola, NY opportunity in village of mineola, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Supervisor-Care Management *BSN & RN Required; 3 years of relevant experience required*
Position Summary: In this role, the successful candidate supervises utilization management in accordance with the Hospital Utilization Review (UR) Plan, in addition to discharge planning and progression of care management to promote quality of care, safe transitions and appropriate resource use. Responsible for coordination and maintenance of programs/processes necessary for the daily operations of the Case Management Department.
Job Responsibilities:
Provides in-service educational updates as necessary for staff development; schedules educational services to other disciplines to promote quality patient care.
Participates in development of policies and procedures of the Case Management Department inclusive of utilization management, discharge planning, post-acute care placement, and insurance denial appeals.
Oversees departmental quality performance improvement program; supervises staff referral of quality issues to Quality Management Department; maintains quality indicators and measurement.
Performs other duties as assigned.
Supervises departmental activities regarding utilization management and concurrent denials; oversees completion of utilization management admission and continued stay screening and assessment procedures; supervises issuance of HINN, NONC, NODMAR letters to patients as appropriate.
Oversees completion of discharge planning screening and patient assessment procedures; facilitates interdisciplinary health‑care team communication; coordinates case conferences and implements comprehensive post‑acute care discharge plans; facilitates collaborative relationships with external post‑acute care agencies.
Provides guidance and support to staff regarding progression of care management, including partnering with Physician Advisors to promote overall Winthrop Efficiency (POWER) with unit rounds and service‑specific rounds.
Minimum Qualifications:
• Bachelor's Degree in Nursing; current and valid New York State registered professional nurse license; BLS certification (American Heart Association); NYS DOH certification as a Patient Review Instrument (PRI) Assessor; 3‑5 years in‑depth experience inclusive of acute care clinical patient care, utilization management, discharge planning, post‑acute care placement, and insurance denial management. Excellent oral and written communication, interpersonal, organizational, leadership, prioritization, problem‑solving, deductive reasoning skills. Knowledge of insurance denial and appeals process inclusive of external appeal, dispute resolution authority issues, commercial and government reimbursement mechanisms and managed care issues. Enhanced understanding of utilization management, progression of care, and case management operations within the acute care hospital setting. Basic computer skills including MS Office.
Preferred Qualifications:
• Master’s Degree in Nursing; NYS DOH certification as a Screen Assessor; 1‑2 years of management or supervisory experience.
NYU Langone Hospital—Long Island is an equal opportunity employer and is committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply.
NYU Langone Health provides a salary range for the role of $133,380.00 ‑ $168,000.00 annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range does not include bonuses or other compensation.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.