Mount Sinai Careers
Assistant Clinical Manager of Case Management (RN) - Mount Sinai West (Columbus Circle Area)
The Nursing Assistant Clinical Manager (NACM) for Case Management assists the Nursing Clinical Manager of Case Management (NCMCM) and Nursing Director of Case Management (NDCM). This includes, but is not limited to, daily supervision with the Case Managers, staff recruitment, retention, labor relations, daily staffing, employee performance evaluation, performance improvement, direct training /staff education, as well as performs on as needed routine daily basis all job responsibilities of the Case Managers /Utilization Review Nurses.
The Nursing Assistant Clinical Manager (NACM) for Case Management
is also responsible for all aspects of case management/utilization review for an assigned group of Inpatients, ED patients, and Observation (RETU) patients to determine the correct Level of Care (LOC), appropriateness of the admission and continued stay, assist in the development of the plan of care; ensure that the plan is implemented in a timely basis and identify the expected length of stay (ELOS).
The NACM for Case Management serves as a resource/mentor for Case Managers, Social Workers and other institutional personnel, and participates in the development and implementation of new Institutional initiatives. The NACM reports to and assists the Manager and Director of Case Management in providing ongoing education to Case Managers and other hospital personnel as needed. The Nursing Assistant Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure contractual compliance and optimal reimbursement by Third Party Payers.
- Attends interdisciplinary rounds on units as warranted.
- Meets with Case Managers, as warranted, to review medically complex and long stay cases; refer to Physician Advisor (PA) as indicated.
- Collaborates with Social Work Supervisors to resolve discharge planning issues on assigned units.
- Regularly reviews avoidable day data and provides follow-up with Case Managers on accuracy and completeness of avoidable days.
- Oversees Case Managers interactions with physicians, nursing, social work, payors, patients and families.
- Compiles statistical results and generates reports.
- Develops, implements, and maintains professional standards.
- Coordinates Case Managers’ activities to maintain orderly flow of admissions and discharges.
- Current NYS license as a registered professional nurse and Certification. BSN required, Master’s Degree in Nursing or health related field preferred.
- Minimum of 5 -7 years of experience as a clinical nurse, Case Manager and Managerial experience preferred