Care Facilitator- Gouverneur Hospital

Park Ridge Child Care Center Inc

Gouverneur, NY, US
Base: $70,000.00 - $95,000.00; bonus/equity: not s...
Onsite (40 hours per week, monday-friday, 8:00 am - 4:30 pm)
Conduct clinical reviews using interqual criteria
Monitor resource utilization and length of stay
Collaborate with payors for appeals and benefits
Park Ridge Child Care Center Inc is seeking a Care Facilitator for Gouverneur Hospital to ensure efficient patient care delivery through coordinated case management. The role requires a licensed Registered Nurse with acute hospital care experience, focusing on utilization management and interdisciplinary collaboration

Job Summary

  • The role comprehensively plans with the health care team to ensure patient needs are met across the continuum of care.
  • Employees will conduct clinical reviews using Interqual criteria to determine appropriate patient levels of care and support reimbursement.
  • The position requires serving as a liaison between the hospital and payors to optimize benefit use and resolve barriers to care.

Matching Summary

Match Score: 85

Park Ridge Child Care Center Inc is seeking a Care Facilitator for Gouverneur Hospital to ensure efficient patient care delivery through coordinated case management. The role requires a licensed Registered Nurse with acute hospital care experience, focusing on utilization management and interdisciplinary collaboration.

Salary

Base: $70,000.00 - $95,000.00; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Conduct clinical reviews using Interqual criteria
  • Monitor resource utilization and length of stay
  • Collaborate with payors for appeals and benefits

Nice-to-have

  • Experience in case management or utilization management
  • Bachelor's degree in nursing or related field
  • Champion service excellence and brand promise

Key Requirements

  • Diploma or Associate's Degree from accredited nursing school
  • 3 years acute hospital care experience
  • Licensed Registered Nurse in New York State
  • BLS certification from American Heart Association

Work Rights

Must have US work authorization

Tailored Resume

Cover Letter