RN Care Manager - Inpatient Pediatric Units - CHONY - Days (nyp)

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Discover Where Amazing Works

RN Care Manager - Inpatient Pediatric Units - CHONY - Days

Today, NewYork-Presbyterian Morgan Stanley Children's Hospital is affiliated with the Department of Pediatrics at Columbia University Vagelos College of Physicians and Surgeons. It is Manhattan's only hospital dedicated solely to the care of children and one of the largest providers of children's health services in the tri-state area, with a long-standing commitment to its community. It is also a major international referral center, meeting the special needs of children from infancy through adolescence worldwide.

This position covers two Pediatric Specialty Services. This role assesses patients for coordination of care in-house, leads Interdisciplinary Rounds and leads coordination of discharge planning with the Interdisciplinary Team. The Care Manager/Care Coordinator role facilitates transition of patients to Acute Rehab, and home with Certified Home Health Agency services (i.e. Home Hospice Care, Home with Rehab, Home Health Care of RNs and Aides, etc.). Coordination of durable medical equipment, IVABT transfusion and all needed patient care equipment needed in the home. This is the only role qualified to complete the mandatory New York State Department of Health Patient Review Instrument (PRI) to facilitate patient referrals and discharges.

The Care Manager/Care Coordinator role assumes responsibility for Utilization Management, ensuring insurance reimbursement for all admitted patients and completes the required clinical reviews to ensure admission criteria is met for all patients. For insurance denials of hospital stay, this role schedules Peer to Peer reviews with the hospital Providers and the Insurance Medical Director, forwards all updated clinicals to the insurance company for review and reversal of denial of payment and works closely with NYP's Managed Care Dept. 

This position is Monday-Friday days with weekend and holiday rotation.

Ideal Criteria

• 2 years' of case management/care coordination experience in an inpatient Pediatric setting

• 1 year of leadership experience in a healthcare setting

• Master's Degree in healthcare related field 

Required Criteria

• Bachelors degree in Nursing (BSN)

• Current NYS Registered Nurse (RN) licensure

• 3 to 5 years of health care experience in an acute care setting

• Superior communication, demonstrated problem solving skills, strong business acumen, and interpersonal skills are critical

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.

NYP will not reimburse for travel expenses.

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• 2024 “Great Place To Work Certified”
• 2024 “America’s Best Large Employers” – Forbes
• 2024 “Best Places to Work in IT” – Computerworld
• 2023 “Best Employers for Women” – Forbes
• 2023 “Workplace Well-being Platinum Winner” – Aetna
• 2023 “America’s Best-In-State Employers” – Forbes
• “Silver HCM Excellence Award for Learning & Development” – Brandon Hall Group

NewYork-Presbyterian Hospital is an equal opportunity employer.

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It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.