The Case Manager (RN) is responsible for implementing and supervising the day-to-day operations of the Case Management programs at Bon Secours Charity Health System. This position manages activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining optimal standards of patient care.

Responsibilities:

• Oversees the patient assessment process within the Case Management department to identify pertinent/potential patient problems.
• Completes timely initial and concurrent clinical reviews and communicates with insurance payers.
• Addresses needs of the patients through direct interaction with the staff, physicians, patients, and families including screening/reviewing of the patient's medical records.
• Determines appropriateness of admission and severity of illness compared to pre-established criteria standards utilized by all third-party payors.
• Monitors the collaboration with multidisciplinary care management team regarding the individualization of the patient care plan in order to promote efficient use of hospital resources, facilitate timely discharges, and promote quality.
• Oversee the collection of clinical data, based on predetermined quality and outcome indicators developed by the medical staff, case management leader and administration.
• Provides orientation/mentoring to staff, completes scheduling, and evaluations within the Case Management
• Performs other related duties as assigned.

Qualifications/Requirements:

Experience: Three years of experience where the primary function of the position was nursing in a hospital or health care agency, one of which must have been in the area of utilization review, quality assurance, risk management or discharge planning.

Education: Graduation from an accredited school of Nursing required; Bachelor's Degree (BSN) in Nursing Preferred.

Licenses / Certifications: Current licensure in the State of New York as a Registered Nurse, AHA BLS required.

About Us:

St Anthony Community Hospital

For over 75 years, St. Anthony Community Hospital in Warwick, NY, has been serving the residents of Orange County, NY, and New Jersey's Sussex and Passaic counties with outstanding and compassionate care. The 60-bed hospital has been a primary resource for emergency, medical, surgical, obstetrical/gynecological, and acute-care services. Also on campus is Schervier Pavilion, a 120-bed skilled-nursing facility dedicated to the highest standard of healthcare excellence.

Benefits:

We offer a comprehensive compensation and benefits package that includes:

• Health Insurance
• Dental
• Vision
• Retirement Savings Plan
• Flexible Savings Account
• Paid Time Off
• Holidays
• Tuition Reimbursement