RN Case Manager – Nurse Liaison

Jamaica Hospital Medical Center a member of the Medisys Health Network is a 404 bed fully accredited community based teaching hospital and level I Trauma and Stroke Center. Our Care Management Department offers a wide range of services including: Care Transitions, EMPOWER, Co-Managed Care and Complex Case Management. These free programs are designed to assist people who require frequent medical attention.  Our goal is to improve the health of our community by working closely with our patients and their families as well as their primary care physicians and other health providers.  We are proud of our uncompromising commitment and approach in providing the highest levels of professional, compassionate care to the many culturally diverse, undeserved patients and residents in Queens. We are seeking F/T experienced Nurse Liaisons with current New York State license to work in our Care Management Department.

DUTIES

• Responsible for working in one of  four specialized  Program Service areas providing Telephonic Case Management and administration of Transition of Care, Complex Case Management, Co-Managed Care or Home based services for patients recently discharged from the hospital
• Facilitating PCP engagement and follow-up post hospitalization.
•  Assessing care plan development and managing overall clinical needs of patients within nursing scope of practice.
• Utilizing EMR data and other sources to perform full medical record reviews and formulate patient health status.
• Administering disease management education to patients with chronic conditions
• Effectively collaborating with patients, caregivers, Medical Advisors, PCP and other specialist community entities to ensure individualized care and completion of care plan goals.
• Educating and guiding patients on disease prevention and healthy lifestyle habits.