Job Description

At Rochester Regional Health, we know that delivering the best care means empowering nurses throughout every stage of their career. We\xc3\xa2\xc2\x80\xc2\x99ve created a unique environment that fosters professional development and personal growth for our team members including a clinical ladder, competitive pay and benefits, and support for continuing education. It\xc3\xa2\xc2\x80\xc2\x99s our way of investing in those who care.

Responsibilities

Job ID REQ_175269 FACILITY Rochester General Hospital LOCATION Rochester, New York
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SUMMARY

As a Registered Nurse \xc3\xa2\xc2\x80\xc2\x93 Care Manager, your excellent interpersonal, leadership and collaboration skills ensure the appropriate allocation of hospital resources while maintaining the quality of care.

STATUS:

LOCATION:

DEPARTMENT:

SCHEDULE:

ATTRIBUTES

• Three (3) years of acute hospital care, case management or utilization management experience preferred
• Excellent oral and written communication and interpersonal skills
• Good understanding of medical management techniques and processes
• Knowledge of federal and state regulations (DOH, Medicaid/Medicare)
• Strong organizational and problem-solving skills
• Knowledge of third party payor and/or managed care payment principles helpful

RESPONSIBILITIES

• Evaluation & Review. Evaluate hospital admissions to assure care is medically necessary and delivered at the most appropriate level; actively participate in the concurrent review process and communicate/intervene with third party payors to ensure reimbursement for services are provided while maintaining quality of care \xc3\x82 \xc3\x82
• Patient Management. Collaborate with providers, patients and families to address concerns and identify safe, effective discharge plans; intervene to identify and facilitate early referral for discharge planning; facilitate the discharge process by working with the healthcare team to identify alternative solutions to minimize system delays while ensuring a safe discharge plan
• Recommendation. Coordinate and participate in the development, implementation and revisions of evidence based clinical pathways and guidelines; participate in driving clinical and administrative compliance with care guidelines and core measures; identify and recommend actions for improvement

LICENSES/CERTIFICATIONS RN - Registered Nurse - New York State Education Department (NYSED); BLS - Basic Life Support - American Heart Association (AHA)

Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran

Helping you succeed

Discover all the ways Rochester Regional Health supports your professional development and personal growth.

Clinical Ladder

Nurses who advance on our clinical ladder receive a promotion at the bedside through growth in their skillset, a new title and monetary recognition up to $3.00/hour

Rapid Pay Increases

Receive rapid pay increases every six months during the first two years of employment, and annual increases thereafter.

Unlimited Certifications

Nurses earn up to an additional $1.00/hour for each certification earned plus a $1,000 bonus for the first certification earned, and $500 for the second certification.

I began my healthcare career as a patient care technician while working towards my BSN. Rochester Regional Health offers a variety of opportunities for nurses, and leadership empowers us to fine-tune our interests and passions, while developing a strong clinical practice. Megan Murphy, MSN, RN, BSN Nurse Educator

I am very impressed with the focus and investment on education and professional development that\xc3\xa2\xc2\x80\xc2\x99s being developed and implemented at RRH. Investing in staff is what distinguishes a good organization from a great one and I\xc3\xa2\xc2\x80\xc2\x99m happy to see that RRH is working hard to distinguish itself as a great regional employer. Benjamin C. Snyder, RN, BSN Nurse Manager

Rochester Regional Health has been very supportive and inviting of any opportunities that I\xc3\xa2\xc2\x80\xc2\x99ve wanted to explore. The opportunities for growth are truly unlimited. As the chair of the Clinical Ladder Committee, I\xc3\xa2\xc2\x80\xc2\x99ve seen first-hand how many nurses take advantage of this and explore opportunities for their own growth and advancement. Kaitlin Costello, RN, BSN, CEN, TCRNClinical Nurse Leader

Find Your Way

At Rochester Regional Health, empowering our nurses as they build their careers is our top priority. If you\xc3\xa2\xc2\x80\xc2\x99re looking to make a change, learn more about how we can help you build a successful and fulfilling nursing career.

Based on your preferences and skill sets, you\xc3\xa2\xc2\x80\xc2\x99ll have the opportunity to pursue the nursing career path that interests you most.

bedside nursing

clinical education

nursing leadership

operations

bedside nursing

Deepen your knowledge as a specialist within the expansive specialty unit that you are most passionate about, including:

• Acute Medicine
• Cardiology
• Critical Care
• Neuro/Stroke
• Oncology
• Pediatrics
• Surgical

Kaitlin Costello, RN, BSN, CEN, TCRNClinical Nurse Leader

Clinical Education

Help others broaden their skills and proficiencies as a:

• Preceptor
• Clinical Nurse Specialist
• Clinical Resource Nurse
• Nurse Educator

Megan Murphy, MSN, RN, BSN Nurse Educator

Nursing Leadership

Lead the way for other nurses with positions that include:

• Charge Nurse
• Clinical Nurse Leader
• Nurse Manager
• Nurse Director
• Associate CNO
• CNO

Kristen Oppet, RN, BS, MSHA Vice President, Chief Nursing Officer

Operations

Take care of every person at every level by joining departments that require your expertise including:

• Call Center
• Care Management
• Clinical Informatics
• Infection Prevention
• Nurse Recruitment (HR)
• Patient Safety & Quality
• Performance Improvement
• Utilization Review

Chelsea E. Reff, MBA, RN-BC, BSN Nurse Compensation Manager,
Rochester Regional Health

We are nurses growing together

Rochester Regional Health