CARE MANAGEMENT COORDINATOR

This associate is a Registered Nurse with current NYS Registration. S/he has, at minimum, a Bachelor of Science in Nursing or a Bachelor's degree in a related field and a minimum of 5 years recent acute care clinical experience [excluding Psychiatric, Acute Rehab, Obstetrics or Newborn] with a minimum of 2 years critical care experience preferred. This RN conducts Documentation Improvement activities by reviewing medical records on a concurrent basis to assess the extent to which clinical documentation accurately reflects the severity of patient illness and the scope and intensity of services/procedures. S/he is required to demonstrate excellent clinical knowledge of disease processes, including, but not limited to, symptomatology, diagnostics and treatment. S/he is required to demonstrate knowledge of the difference in symptoms vs clinical diagnosis. S/he is required to demonstrate knowledge of federal, state and commercial/third party regulations related to coding and reimbursement. S/he works collaboratively with physicians and HIM associates to ensure compliance with coding and reimbursement guidelines for inpatient admissions. The RN queries physicians or physician extenders to clarify diagnosis and procedures to support accurate DRG assignment. S/he demonstrates excellent interpersonal and communication skills and displays a commitment to interdisciplinary teamwork. S/he is required to demonstrate proficient knowledge in software systems, including, but not limited to, Microsoft suite. Days: 5 Day's Work Week [or if part time, it is 5 days per pay period] & Occasional WeekendsRequired Hours: 7:30am - 4:00pm Department: CMO Bargaining Unit: NYSNA Campus: YONKERS Employment Status: Regular Full-Time Address: 100 Corporate Blvd, YonkersShift: Day Scheduled Hours: 7:30 AM-4 PM Req ID: 152998 N/A Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.