Mount Sinai Careers

Care Manager-RN

Astoria, New York

Job Description

Mount Sinai Health System Careers
Do you have what it takes to wear the badge?
Being a member of our nursing team at the Mount Sinai Health System is truly a badge of honor. Our nursing professionals provide leadership in a stimulating, supportive, and state-of-the-art environment where expertise is valued and collaboration is essential. As members of interdisciplinary care teams, nurses work alongside recognized leaders in all areas of clinical care—sharing outstanding resources, ideas, and technology to improve patients’ lives.
Are you ready to discover the world of limitless possibilities that comes with wearing the badge? Explore more about this opportunity and how you can help us write a new chapter in our story of unrivaled patient care!
What You’ll Do:
Responsible for coordinating the care of the patients across the continuum
ensuring and facilitating the achievement of quality, clinical and cost outcomes; Negotiating, procuring and coordinating services and resources needed by the patient and family.

Duties and Responsibilities:
1. 1. Review charts for appropriateness of admission/continued stays
2. 2. Communicate with various departments when indicated to ensure tests that were ordered, are completed and followed up on
3. 3. Follow up of abnormalities/delays: documentation, investigation, and treatment.
4. 4. Participate in interdisciplinary rounds with house physician, social service, nursing and ancillary departments.
5. 5. Complete any forms necessary in the discharge planning process including (but not limited to) PRI, M11Q, 485, and as requested by the Social Service Department.
6 6. When managed care denies payment for days during concurrent review, contact the attending with this information. The attending can either evaluate for discharge or we will give telephone number and case number to facilitate attending contacting medical director for concurrent appeal of the denial
What You’ll Bring:
  • Registered professional nurse licensed to practice in the state of New York
  • BSN
  • Three to five years acute care experience
  • Experience in Care Management duties and managed care reviews
  • Good interpersonal skills
  • PRI Certification
Do you share our dedication to extraordinary service and have what it takes to wear the badge? Apply now!
Who We Are:
Over 35,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is committed to the tenets of diversity and workforce that are strengthened by the inclusion of and respect for our differences. We offer our employees a highly competitive compensation and benefits package, a 403(b) retirement plan, and much more.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.
EOE Minorities/Women/Disabled/Veterans