Care Manager - Readmission Specialist

Job description

Care Manager - Readmission Specialist Position Summary: At Stony Brook Medicine the Care Manager – Readmission Specialist must have both hospital and transitional care experience. The Care Manager – Readmission Specialist identifies hospitalized patients who may be at a high risk for readmission. The RN following these patients must have good clinical and communication skills to address the needs of the patient and caregiver throughout their hospital stay. Duties: Qualified candidates will demonstrate superior patient care and possess outstanding communication skills while adhering to our high standard of excellence. Duties of a Care Manager - Readmission Specialist may include the following but are not limited to : · Identify high-risk patients and intervene with the support of the medical team to improve outcomes. · Monitors and coordinate an interdisciplinary plan of care with the patient and their support team. · Participate in process improvement work and quality initiatives to ensure efficient, high quality multidisciplinary care is provided to the patients. · Documents the case management plans such as clinical needs, barriers, utilization of resources via assessments and/or...