Care Management- Ortho Care Coordinator -RN

American Consultants

  • New York City, NY
  • Permanent
  • Full-time
  • 1 month ago
Care Management- Ortho Care Coordinator- RNAmerican Consultants has a full time permanent.position for a Care Coordinator at a facility in New York. Must have a NY RN license.Education/Skills:
  • 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.
  • S/he also has a minimum of 5 years recent [defined as within the past 8 years] acute care clinical experience [excluding Psychiatric, Acute Rehab, Obstetrics or Newborn].
  • In addition s/he will have 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 related.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 symptomsvs 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 Diagnosis Related Group assignment.
  • This associate also 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.

American Consultants