Disease Management Case Manager coordinates the overall interdisciplinary plan of care for a patient in a disease management program, from admission to discharge. Acts as a liaison between patient/family, employer and healthcare personnel to ensure necessary care is provided promptly and effectively. Being a Disease Management Case Manager responsibilities include but are not limited to documenting case progress, identifying health risks, and reporting the findings of the case study at appropriate intervals. Requires an associate's degree/bachelor's degree, and is licensed to practice nursing. Additionally, Disease Management Case Manager typically reports to a supervisor or manager. Disease Management Case Manager's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)
A leading acute care hospital located in southeastern New York is now searching for an experienced Nurse Manager Utilization Review to join their award-winning healthcare team.
This acute care facility was founded over one hundred years ago and today houses nearly 400 licensed beds and offers a wide variety of medical and surgical services. This state-of-the-art medical center provides a number of patient care services including behavioral health, oncology services, cardiopulmonary and vascular services, emergency and critical care, radiology services, maternity and pediatric care, wound and home care, and much more.
Reporting to the Director Case Management, the Nurse Manager Utilization Review will oversee the hospital’s case management and utilization review programs. Responsibilities include oversight of the medical necessity and denials management programs, ensures customer satisfaction, develops and enforces performance standards, provides training to new and existing staff, fosters positive relationships with payors and external vendors, and supports the overall mission of the organization.
What Makes You Awesome:
This hospital is located in a suburb of New York City and is currently referred to as one of the best places to live in New York. This region is known to attract many young professionals and families.
This respectable healthcare facility is prepared to offer a competitive compensation package including industry leading benefits and continued growth opportunities.