Nurse Case Coordinator Jobs

NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to med.nyu.edu, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter and Instagram.

Position Summary:

The New York University Grossman School of Medicine World Trade Center Health Program Clinical Center of Excellence (NYUGSOM WTCHP CCE) is one of seven centers established by the James Zadroga 9/11 Health and Compensation Act of 2010 to care for 9/11 first responders.

We have an exciting opportunity to join our team as a nurse case coordinator. This is a unique opportunity to work on a multi-interdisciplinary level on providing care to WTC Responders. Responsible for all aspects of clinical nursing case management and coordination of patients care in the World Trade Center Health Program

Job Responsibilities

• Coordination with case management for post-discharge outreach
• Review and case manage members admitted for inpatient (IP) hospitalizations and all other levels of care including rehabilitation, skilled nursing facilities, home health care, any post-acute care facility or service
• Works with WTC team on care coordination and provide clinical support as needed and requested
• Attends all weekly, monthly, and semi-annual scheduled client meetings in which clinical based updates or decisions are required
• Medical necessity review of outpatient procedures and services
• Review of authorizations for medical necessity (prior authorization/prospective reviews and retrospective authorizations) as related to member’s WTC certified condition(s)
• Address the unique health care needs of individual members and improve member satisfaction with the Program
• Discharge planning
• Develops Intensive case management Plan of Care and necessary follow-ups
• Assess active members for case-management service needs as clinically indicated
• Review, complete and submit necessary prior authorizations
• Ensure that all pre-authorizations issued to enrolled members are for WTC-certified health conditions, or medically associated conditions, in compliance with program guidelines
• Concurrent (medical necessity) review (CCR) and Continued Stay Review (CSR) processes for IP hospitalizations
• Care Coordination and Case Management for WTC responders
• Administering medical monitoring questionnaires

Minimum Qualifications:

To qualify you must have a NYS Licensed Registered Nurse
Must have a Baccalaureate degree in Nursing
BCLS Required
Possesses the necessary education and experience as a registered nurse
Has relevant clinical experience to make independent clinical decisions
Strong organizational and interpersonal skills
Exceptional communication skills with a demonstrated ability to establish and maintain effective working relationships with a wide range of individuals/groups

Preferred Qualifications:

A passion for the NYUGSOM WTC CCE mission and working with adult first responders from varied occupational backgrounds
Prior experience with the WTC population
Prior case management experience
Oncology nursing experience
Spoken mastery of Spanish preferred

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Grossman School of Medicine provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

NYU Grossman School of Medicine is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Grossman School of Medicine's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.

NYU Langone Health provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $88,978.50 - $126,399.00 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here