At St. Joseph’s Health the Emergency Department records more than 70,000 patient visits a year.  As A community-centered emergency department, it offers a wide range of medical services for people of all ages.  The Registered Nurse Utilization Review (UR), Clinical Care Manger (CCM) actively manages the utilization review process and patient progression from Admission to Discharge. Through partnership and collaboration with all members of the healthcare team, the UR/CCM is the principal liaison between emergency services, surgical services, nursing, finance, physicians, and medical records. In addition, they are responsible to coordinate safe and appropriate discharge plan for the patients within their service area. 

What you will do:  

Patient Care Coordination: Completes initial and follow up case reviews on all patients as dictated by payer and status. 

Leads daily SNAP huddles and works collaboratively with unit staff and support team (RN, Physician/Clinical Affiliate, DPA, MSW, CDI, Rehab Services, etc.) to progress each patient's care towards discharge. 

Maintains current knowledge of basic health care economics, trends and reimbursements methodologies and applies knowledge to daily practice. Recognizes situations that require immediate intervention. Continues to develop professionally and apply knowledge and skills necessary to provide care appropriate to each patient.  

Minimum Qualifications:  

Education: Graduate of an accredited college or university affiliated nursing program.  BSN graduate preferred.

Licensure: Current Licensure as a Registered Nurse RN in New York.

Experience: Knowledge of InterQual/Indicia/MCG software, Minimum of 3 years of clinical experience in an Emergency Department or acute care setting. Previous leadership experience is highly desirable.

Work Schedule:  Full time – Day Shift 40 Hours, 4-10’s or 36 Hours 3-12’s, Every 3rd Weekend, No Holidays

Ministry/Facility Information:

St. Joseph’s Health is a regional non-profit health care system based in Syracuse, NY. St. Joseph’s has been an innovative leader in health care since our founding in 1869 as the first public hospital in the city of Syracuse. Offering primary, specialty, and home care, a hospital, and collaboration with community partners, St. Joseph’s Health advances the well-being of the communities we serve through an expanding range of services to ensure our patients achieve optimum long-term health. We are part of Trinity Health, the nation’s second-largest Catholic Health System.

St. Joseph’s Health Hospital has been, and remains, the backbone of our integrated system, delivering award-winning care and providing enhanced value to our primary, specialized, and partner care facilities throughout the region. We are a US News “Best Regional Hospital”, a designated stroke center, and recipient of several Healthgrades Top 50, Top 100, 5-Star, and Excellence Awards.

The above statements are intended to describe the general nature & level of work being performed by persons assigned to this classification.  They are not to be construed as an exhaustive list of duties so assigned. 

Mission Statement: We, St Joseph’s Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Vision: To be world-renowned for passionate patient care and outstanding clinical outcomes.

Core Values: In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.

Pay Range:  $35.80 - $53.70

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. 

Our Commitment to Diversity and Inclusion
 

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.