At a Glance
- Tasks: Coordinate top-notch patient care and manage medical services efficiently.
- Company: Join the esteemed Montefiore Wakefield Campus, a leader in patient care.
- Benefits: Competitive salary of $65.38, full-time hours, and a supportive work environment.
- Other info: Dynamic team atmosphere with opportunities for professional growth.
- Why this job: Make a real difference in patients' lives while advancing your career in healthcare.
- Qualifications: BSN required; 3-5 years of acute care experience preferred.
The predicted salary is between 65000 - 65000 £ per year.
We are offering an exciting opportunity to join our esteemed team at Montefiore Wakefield Campus, a Magnet designated hospital recognized for its excellence in patient care. Our Care Management department is currently seeking a highly skilled Case Manager RN to provide top-notch care to patients. The Case Manager, RN, plays a critical role in coordinating medical care services for patients. This includes ensuring efficient utilization of resources, delivering high-quality patient care, and maintaining compliance with relevant regulatory, accrediting, and contractual requirements.
Key responsibilities include:
- Assessing the appropriateness of patient care services
- Preparing and submitting clinical appeals for denied claims
- Compiling and analyzing data to support utilization reviews, quality improvement initiatives, and other areas as assigned
Requirements:
- BSN or a bachelor's degree in a related field Required
- Master's Degree preferred
- NYS RN License required
- PRI assessor number required prior to end of 3-month probationary period
- 3-5 years recent acute care clinical experience preferred
- Experience in utilization management preferred
- Experience in a managed care organization preferred
- Certification in Utilization Review or Case Management preferred
- Analytical skills, problem-solving skills, conflict resolution and negotiation skills
- Demonstrated knowledge of federal, state and commercial/third-party regulations related to utilization management functions, discharge planning and associated processes
- Demonstrated knowledge of quality/performance improvement tools and techniques
- Demonstrated knowledge of utilization and case management principles
- Experience in the application of utilization management decision support criteria preferred
- Computer skills including data entry, word processing, and electronic messaging
- Experience in the use of Windows-based software applications
- Experience in the use of an electronic clinical information system preferred
- Excellent verbal, written and interpersonal communication skills, as well as a commitment to interdisciplinary teamwork
- Excellent organization skills, teamwork skills and time management skills
- Expert clinical knowledge of disease processes to identify care needs
- Understanding of the health care delivery system and its sites of care, delivery models, and the roles of various providers and health care professionals
- Experience in interpreting and applying benefit coverage rules and assessing coordination of benefits guidelines and managed care regulations required
Department: Care Management
Bargaining Unit: 1199 RN
Campus: WAKEFIELD
Employment Status: Regular Full-Time
Address: 600 East 233rd Street, Bronx
Shift: Day
Scheduled Hours: 9 AM-5 PM
Req ID: 225631
Salary Range/Pay Rate: $65.38
Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
Case Manager-Wakefield employer: Montefiore
Montefiore Wakefield Campus is an exceptional employer, offering a supportive and collaborative work environment that prioritises high-quality patient care. As a Magnet designated hospital, we provide our Case Managers with ample opportunities for professional growth and development, alongside competitive compensation and comprehensive benefits. Our commitment to diversity and inclusion ensures that every team member feels valued and empowered to make a meaningful impact in the community.
StudySmarter Expert Advice🤫
We think this is how you could land Case Manager-Wakefield
✨Get Involved with Local Health Initiatives
Join local community health events or volunteer for organisations like public health agencies. This not only builds your experience but also helps you network with industry professionals who might know of openings at places like Montefiore.
✨Tap into Professional Associations
Check out associations like the Institute of Healthcare Management. They often have job boards, networking events, and conferences that are perfect for connecting with potential employers in health sciences administration.
✨Stay Updated with Industry Trends
Follow health policy news and trends—being knowledgeable about the current landscape will not only help you in interviews but also make you stand out as a candidate. You can discuss recent developments and their implications when chatting with folks at Montefiore.
✨Apply Through Our Website for Better Visibility
When you find roles that excite you, especially at places like Montefiore, don’t forget to apply through our website. This can sometimes give you an edge by showing the employer you’re savvy and committed to finding the right fit.
We think you need these skills to ace Case Manager-Wakefield
Some tips for your application 🫡
Highlight Your Relevant Experience:When applying for a role in health sciences administration, it's super important to spotlight any relevant experience you have in healthcare settings. Whether you've worked in a hospital, a clinic, or any related environment, make sure to detail those roles in your CV – focusing on your responsibilities and achievements that align with the job at Montefiore.
Showcase Your Administrative Skills:Administrative skills are key in this field, so don’t hold back! Make sure your CV reflects your proficiency in things like scheduling, data management, and compliance with health regulations. Mention specific software you’ve used, such as patient management systems, as this will demonstrate your hands-on abilities and readiness for the role at Montefiore.
Craft a Meaningful Cover Letter:Your cover letter should reflect your passion for the health sciences field and your eagerness to contribute to Montefiore. Share a bit about why you’re drawn to this sector, any impactful situations or challenges you’ve encountered, and how they’ve shaped your desire to work in health sciences administration. This personal touch can really set you apart!
Tailor Your Documents to the Job:Don't use a one-size-fits-all approach! Make sure your CV and cover letter are specifically tailored for this role. Highlight any certifications you have relevant to health administration, and ensure you clearly connect your previous roles to the skills needed for the full-time position at Montefiore. This way, you're showing them you’ve done your homework and are genuinely interested in being a part of their team.
How to prepare for a job interview at Montefiore
✨Showcase Your Administrative Skills
In health sciences administration, being organised is key. Make sure you can demonstrate your skills in managing schedules, paperwork, and data accurately. Be ready to discuss specific tools you've used, like electronic health record systems or scheduling software, and how they improved efficiency in your past experiences.
✨Know Your Regulations
Familiarity with healthcare regulations and compliance is crucial. Brush up on HIPAA, GDPR, or other relevant policies before your interview. We recommend preparing examples of how you've ensured compliance or handled sensitive information in past roles—this will show you're not just knowledgeable but also responsible.
✨Prepare for Scenario Questions
Interviews for administrative roles often involve scenario-based questions to assess your problem-solving skills. Practice responses to common situations you might face, such as dealing with a challenging patient or managing a sudden schedule change. This will not only demonstrate your ability to think on your feet but also highlight your interpersonal skills.
✨Align Your Goals with the Organisation
As a full-time candidate, employers will want to know how your long-term career goals align with their mission. Take some time to research Montefiore’s values and be ready to tie your passion for health sciences administration into their objectives. Demonstrating enthusiasm and career alignment can be a game-changer in this competitive field!
