Brookhaven Memorial Hospital Medical Center (BMHMC) has a lot to offer job seekers. If you are interested in getting into, or furthering an already established career in healthcare you have come to the right place. The open positions you will find at BMHMC are representative of an organization that is continually growing and changing. It is an exciting time to join BMHMC, with the opening of the new Knapp Cardiac Care Center, the purchase of the former John J. Foley Nursing Home coming soon and new physician practices coming on board regularly.
BMHMC offers an environment full of professional challenges with the support of a strong structure and leadership team to offer guidance and direction. You will feel the power of teamwork and a culture that is focused on providing our community the best care possible.
An equal opportunity employer, we recognize that you've worked hard to acquire your professional skills and have consistently stretched your talents, drive and abilities. For qualified individuals, the Medical Center provides a comprehensive benefits package.
This position: demonstrates accountability for utilization management functions and communication with payers to assure authorization and payment for hospital stay; initiates contact with attending physician to solicit additional information to support medical necessity for admission when there is not adequate information in the medical record; suggests alternative level of care/treatment plan for patients not meeting medical necessity for admission; leads and implements the transition planning process from the time of admission to discharge by effectively assessing patient/family needs, preferences, and available resources; completes a discharge planning assessment for all patients in assigned case load within 24 hours of admission; confers with attending physician and other members of the health care team to identify needs.
Applicant must possess a current license to practice as a Registered Professional Nurse in the State of New York. BS or MS preferred. Case Management certification from accepted accrediting body preferred. Minimum of 5 years clinical medical-surgical experience required and 3-5 years experience as a hospital in-patient Case Manager. Must possess knowledge of Federal and State regulation pertaining to hospital reimbursement, the utilization review process and, and the discharge planning function. Knowledge of identification, assessment, and intervention pertaining to high-risk populations. Working knowledge/experience with hospital/care management software, documenting electronically, and compiling data from the electronic medical record. Working knowledge of/completion of CDI-Clinical Documentation Implementation Training. Working knowledge of Microsoft outlook, Microsoft Word, Excel, Power Point, and scanning. PRI and Screen certifications preferred. Engage in and commitment to the collaborate process of case management, which includes assessing, planning, implementing, coordinating, monitoring, and evaluating available options and appropriate resources to meet the patient’s health needs, which results in promotion of quality, cost-effective outcomes. This process includes close collaboration and communication with the interdisciplinary care team, the patient.