Nursing Clinical Manager/RN, Hospital Case Management, Mount Sinai Hospital, Full-time, Days

The Nursing Clinical Manager (NCM) for Case Management - Mount Sinai Hospital

The Nursing Clinical Manager (NCM) for Case Management is responsible for the day-to-day management of the Case Managers. 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, and staff education.
 
The NCM Manager 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 NCM reports to and assists the Director of Case Management in providing ongoing education to Case Managers and other hospital personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting, and other institutional departments to ensure contractual compliance and optimal reimbursement by Third Party Payers. 

The Nursing Clinical Manager for Case Management has a collaborative reporting relationship with the Nursing Director for medicine and attends the monthly Nursing Leadership meeting. 

 

Duties and Responsibilities: 

• Attend interdisciplinary rounds on units as warranted.
• Meets with Case Managers, as warranted, to review medically complex and long-stay cases; refer to physician advisor 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 Manager's interactions with physicians, nurses, social workers, payors, patients, and families. 

Clinical Leadership: 

• Develops, implements, and maintains professional standards.
• Ensures that the overall Case Management program supports patient, unit, and clinical service objectives.
• Provides operational and clinical oversight to case managers to ensure that all day-to-day activity supports the mission of efficient and clinically appropriate patient care.
• Demonstrates integral involvement in the Nursing Department PI/QA program.
• Participates in monthly Nursing Department meetings.
• Works with unit case managers, clinical nurse managers, physicians, and social workers to facilitate Interdisciplinary Rounds to ensure compliance with the patient management plan and the appropriate length of stay for each patient.
• Conducts rounds on the inpatient units as warranted to determine and improve hindrances to appropriate length of stay.
• Collaborates with the Director of Case Management to maintain, review, and update all Case Management specialty policies in accordance with hospital, professional, and regulatory standards.
• Supports the overall strategic goals of the Hospital and the Nursing Department.
• Creates and maintains an environment of care where patients, families, staff, and others are treated with respect, dignity, and in a professional manner, promoting an environment respectful of cultural diversity.
• Attends interdisciplinary rounds as necessary.
• Meets with Case Managers to review medically complex and long-stay cases: refer to physician advisor as required.
• Collaborates with Social Work Supervisors to resolve discharge planning issues on assigned units.
• Regularly reviews avoidable day data and follow-up with Case Managers on accuracy and completeness of avoidable days.
   

• A Bachelor of Science with a major in nursing is required.
• CCM Certification is preferred.
• Master in nursing or health-related field preferred.
• 3-5 years of applicable nursing utilization review, hospital case management, and charge nurse/supervisory experience.
• Must have relevant clinical competence in the area of nursing practice assigned in an acute care hospital setting.
• Licensed as a registered nurse with current registration in New York State.
   

Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:  

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
• Serving