Rn Inpatient Case Manager

• Staff working at a MSK New Jersey location must be up to date with COVID-19 vaccination, which includes having completed the primary COVID-19 vaccination series and booster once eligible as mandated by New Jersey State. All New Jersey staff not yet eligible for a booster must receive a booster within 3 weeks of becoming eligible as a condition of continued employment at MSK.

We are:

You Are:

• A good decision-maker, successful at making timely decisions that maintain excellent standards of patient care within the organization
• An effective communicator, capable of resolving how best to reach different audiences and implementing communications based on that understanding
• Capable of building strong customer relationships and delivering customer-centric care solutions
• Passionate about continued professional development related to oncology nursing, case management, and utilization management
• Comfortable with diverse groups of people and able to make others comfortable with you
• Actively seeking new ways to grow and be challenged, using both formal and informal development
• Willing to take action and adopt new opportunities and tough challenges with high energy and passion

You Will:

• Provide case management for a caseload of Oncology patients
• Perform regular concurrent review on all patients and coordinate all needed services including home care to facilitate the safe and timely transition to the next level of care and to follow selected patients in the outpatient setting
• Work with insurance carriers and MSKCC billing departments to initiate appeals and acquire authorizations for treatment
• Assess discharge planning needs at the patient’s admission
• Connect with physicians and clinical nursing staff regarding ongoing patient care
• Act as part of a multidisciplinary team to provide continuity of care throughout various stages of treatment and follow-up

You Need:

• Managed care/UR/CM experience strongly preferred
• Knowledge of state and federal regulations that govern health insurance coverage
• Knowledge of Microsoft: Outlook, Word, Excel, PowerPoint, and Internet Explorer
• Strong decision-making and negotiation skills
• Excellent interpersonal, decision-making, and communication skills
• At least 2-3 years of clinical hospital nursing experience
• Current NYS Registered Nurse License/Registration and BSN preferred