Registered Nurse Clinical Manager, Admissions

Join one of "America's Best Hospitals," as mentioned in US News and World Report!

This specialty hospital in Manhattan is searching for a Registered Nurse Clinical Manager, Admissions to join their team.  This is a great opportunity for a registered nurse with utilization review or appeals experience.

 
In this position you will:

• Review all preadmission clinical documentation for inpatient and ambulatory surgery cases to ensure that documentation complies with rules and regulations
• Communicate documentation deficiencies to physician offices
• Track and monitor these deficiencies for appropriate internal reporting
• Review in-house census for patients in-house over 48 hours to ensure appropriate authorizations for continued admission coverage
• Administer Medicare Advanced Beneficiary Notification as needed for patients
• Develop a clinical documentation review process and enhance clinical documentation with Medical Records Department input
• Review surgical cases utilizing implants, high-cost drugs, or other specialty items to ensure appropriate reimbursement
• Manage monthly case audits

 

 

Please be advised that we are only considering nurses with the following:
 

• Current RN Licensure in New York State
• Bachelors Degree in health related field
• 3+ years experience in utilization management
• 2+ years experience in a supervisory role
• Strong organizational, interpersonal, communication, and written skills required
• Knowledge of State and Federal Regulatory Standards and Joint Commission and Centers for Medicare/Medicaid Services rules and regulations

Benefits Include Medical, Retirement Plan, Tuition Assistance and More!
This award-winning hospital is committed to maintaining a challenging environment that promotes personal growth and an active and rewarding role in fulfilling the goals of the organization.  They recognize that the Registered Nurse Clinical Manager, Admissions is a critical part of providing quality care to its patients and are happy to offer the individual in this position these benefits: 

• Medical, Dental, Vision Plans
• Life Insurance
• Retirement Plan
• Tuition Assistance
• And much more! 

 


How Pathway Medical Works with You to Get the Job
 
Since 1998 we have focused exclusively on helping nurse case managers and related non-bedside nursing professionals find career opportunities that fit their lifestyle and advance their careers.
 
* We have long-standing relationships with nurse executives at dozens of leading healthcare organizations, ensuring that your accomplishments and skills get noticed by key decision makers.     
 
* We will review your resume to make certain it emphasizes the important skills and experience requirements of the job for which you are applying.
 
* We will then prepare you for your interview, enabling you to show why you are the best candidate for the job.
 
* When an offer is extended we will help you negotiate compensation, benefits and any additional employment issues.




We look forward to receiving your application for the Registered Nurse Clinical Manager, Admissions opportunity with this exceptional organization.  Please click on the "Apply Now" button to submit your resume for consideration.