Overview The role of the Case Management Nurse coordinates and directs the patient care case management strategies to ensure quality care and efficient use of resources. Provides for staff management and leadership in departmental planning and policy development. Responsibilities Assists in the development of the clinical pathways for assigned DRG’s in cooperation with medical and nursing staff. Reviews the management of care by all care givers against the clinical pathway. Identifies, documents variances and determines justification and appropriateness of same. Takes appropriate action. Conducts care management reviews effectively and takes appropriate action for all deviations that neither do nor meet criteria/or without justification. Screens for quality, appropriateness and practitioner performance, using pre-established criteria. Makes appropriate referrals. Conducts focused reviews as assigned. Prepares and submits timely and accurate reports on same assigned. Actively participates in multi-disciplinary conferences for patients with special needs/problems. Provides information such as DRG LOS to other disciplines for timely discharge planning. Provides timely clinical reviews to Third party Payers utilizing Milliman guidelines and Interqual criteria. Coordinates the discharge appeal process accurately and timely when applicable. Serves as resource/consultant to clinical departments regarding case management issues of policies. Notifies Physician Advisors of need for review. Prepares and presents accurate reports and serves on committees assigned. Participates in the evaluation of UR, Discharge Planning, and QA programs annually and assists in strategic planning activities for the department. Conduct orientation and in-service programs for topics related to the department on a unit level. Collects QA data relative to the physician credentialing/re-appointment process. Collects data for employees practices patterns and refer same to appropriate department. Recommend policies/procedures/standards/for the department. Supervises proper level of care assignment. Completes and submits ALC notices, PRI’s, HINN’s and reinstatement notices, accurately and timely as indicated. Maintains competency through attending seminars, regarding job related topics. Performs other duties as required. Qualifications Position Requirements: Minimum BSN in Nursing degree required. Current NYS Registered Nurse licensure. Minimum of three (3) years clinical experience in an acute care setting. Critical care experience preferred. Minimum of three (3) years prior Utilization Review/Case Management/Discharge. Planning/Quality Planning experience a must. PRI certification required. Knowledge and experience in utilizing MCG and Interqual criteria a must. Language Skills: Ability to communicate effectively in English both verbally and in writing. Skills: Knowledge of Federal, State and JCAHO guidelines for utilization review, discharge planning/quality assurance/infection control. Knowledge of Milliman guidelines and Interqual criteria. Understanding EPIC and the integration with INDICIA/CareWebQI. Physical Demands: Involves standing, walking, sitting, talking, hearing and bending. May include some repetitive motions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview The Registered Nurse (RN) in the Diabetes Center of Excellence plays a pivotal role in the holistic management and education of patients with diabetes. This individual is adept at understanding the complexities of diabetes management, from medication familiarization to technical troubleshooting of devices, ensuring that patients receive optimal, personalized care in collaboration with the entire diabetes care team. Responsibilities Medication Management: Possess comprehensive knowledge of all diabetes medications to counsel patients on proper administration techniques, potential side effects, and expected outcomes. Prepare prior authorizations for diabetes-related medications for insurance companies. Lead the process to appeal denials of medications to ensure patients have timely access to vital treatments. Be adept at working with pharmacies to solve coverage issues so patients have safe and effective substitutions of medications where appropriate working along-side the endocrinologist and nurse practitioner. Education & Counseling: Educate patients on the fundamentals of diabetes, ensuring a comprehensive understanding of the disease from both a biological and practical management perspective. Foster patient-centered approaches, tailoring teaching methods to individual needs, and ensuring patients grasp the intricacies of managing their condition. Conduct glucose tolerance tests, ensuring patient safety and accurate results. Offer culturally-sensitive nutritional counseling, emphasizing various dietary approaches, including the Mediterranean diet. Provide patient-specific exercise counseling tailored to individual needs and limitations. Instruct patients on the implementation, usage, and troubleshooting of continuous glucose monitors (CGMs), integrating these with mobile technology and facilitating data-sharing with the center for remote consultations. Upload data from patient’s home monitoring devices so this data is available to the clinical time during visits both in person and virtual. Teach foundational elements such as insulin administration, management of high and low blood sugar, sick day rules, and glucagon pen usage. Offer in-depth training on different CGM brands to ensure patient proficiency. Technical & Equipment Support: Expertly troubleshoot issues related to insulin pumps, coordinating with distributors for pump authorization, and ensuring patients receive both technical and emotional support. Assure on an ongoing basis patients have adequate supplies to avoid interruptions in care. Educate patients on pump usage, features, and maintenance. Collaboration & Team Support: Respond to medical advice inquiries regarding diabetes management. Collaborate closely with the entire diabetes care team, including the depression care manager, recognizing the importance of identifying diabetes distress and ensuring timely referrals. Work alongside the registered dietician and health coach to ensure a comprehensive approach to patient care. Uphold and promote excellence in diabetes care in partnership with endocrinologists and nurse practitioners. Qualifications Education: Graduate of accredited nursing program(s). Bachelor of Science in Nursing (BSN) required. Master’s in Nursing or related field preferred. Experience: Proven experience with technical aspects of diabetes care, including insulin pumps and CGMs. Knowledge and Skills: Proficiency in electronic health records and medical software. Strong interpersonal and communication skills, with an emphasis on patient-centered care. Licenses, Certifications: Current and valid NYS Registered Nurse License. Certification in Diabetes Education (CDE) or relevant experience. Physical Requirements : Ability to stand or walk for extended periods. Ability to lift, move, or assist patients as necessary. Fine motor skills to administer injections, perform procedures, and manage technical equipment. Coverage of some evening sessions required. Cover two weekends monthly. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview It is important to acknowledge that high-quality data begin with high-quality data entry, and it is the trauma registrar who is responsible for performing this task. The Trauma Registrar is responsible for database management, conducting data analysis, and developing reports to communicate findings while maintaining a high level of confidentiality. Responsibilities Identifies patients that meet criteria for entry into the trauma registry, utilizing the admission and discharge reports available. Responsible for entering all patients identified. Ensures accurate, thorough abstraction of data from the electronic medical record (EMR) into the trauma registry, in accordance with the current National Trauma Data Standard (NTDS) and New York State (NYS) Data Dictionaries, and Trauma Quality Improvement Program (TQIP) Process Measures. Maintains a concurrent trauma registry (80% of cases closed within 60 days of patient discharge) in accordance with current American College of Surgeons (ACS) requirements. Ensures any Ambulance Call Reports (ACRs) that are found to be incomplete in the EMR, are retrieved and sent to medical records for inclusion in the EMR. Enters findings from Medical Examiner Reports into the patient record, if and when the ME report becomes available. Performs inter-rater reliability (IRR)/data validation on 10% of all patient records. Specific data validation strategies will be determined by the Trauma Program Manager (TPM) and Trauma Performance Improvement Coordinator (TPIC). Ensures timely and accurate data submission to the New York State Trauma Registry, and Trauma Quality Improvement Program (TQIP), per each agency’s call for data. Runs trauma registry reports as requested by the TPM and Trauma Medical Director (TMD) in order to support the trauma Performance Improvement and Patient Safety (PIPS) program. Ensures that the trauma registry meets requirements for ACS designation. Ensures patient and hospital privacy and confidentiality are protected. Abide by facility HIPAA policies and procedures. Must attended two courses within 12 months of hire (if not already completed): 1) American Trauma Society Trauma Registrar Course; and,2) Association for the Advancement of Automotive Medicine (AAAM) Abbreviated Injury Scaling (AIS) Course (most current schema). Certified Specialist in Trauma Registry (CSTR) through the American Trauma Society’s Registrar Certification Board is desired upon hire. Must be obtained within 2 years of hire (if non-RN hire). Completion of a minimum of 8 hours of trauma registry-specific continuing education per year. Qualifications Education: Bachelor's degree required. Bachelors in healthcare or related field preferred. Must attended two courses within 12 months of hire (if not already completed): American Trauma Society Trauma Registrar Course; and, Association for the Advancement of Automotive Medicine (AAAM) Abbreviated Injury Scaling (AIS) Course (most current schema). Completion of a minimum of eight (8) hours of trauma registry-specific continuing education per year. Experience: Previous experience as a Trauma Registrar preferred. Experience with medical terminology required. Experience with ICD-10 coding preferred. Knowledge and Skills: Knowledge of anatomy and physiology required. Ability to fully utilize BHMC’s electronic record systems, equipment and other healthcare and billing systems relevant to this position. Ability to develop analysis and recommendations to business problems. Strong knowledge of excel and ability to use as an analytic and modeling tool. Licenses, Certifications: NYS Registered Nurse preferred Certified Specialist in Trauma Registry (CSTR) through the American Trauma Society’s Registrar Certification Board is desired upon hire. Must be obtained within 2 years of hire (if non-RN hire). Physical Requirements: Position requires prolonged periods of sitting and use of a computer and screen viewing throughout the working day. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview Under the supervision of the Nurse Manager, the staff nurse is responsible for the application of the nursing process and evidence-based knowledge, judgment and technical nursing skills in the delivery of nursing care to a patient, or a group of patients with medical and surgical conditions on an assigned shift. Responsibilities Provide age-appropriate, culturally competent care and family-centered care. Able to prioritize and assist in the care of Triage patients. Performs a thorough patient assessment and reassessment of the maternity patient and neonate. Establishes a plan of care based on patient diagnosis. Demonstrates a thorough knowledge of equipment utilized in patient care (infant warmers, fetal monitors, birthing bed, infant warmers, cardiac monitoring). Able to care for antepartum (low and high risk), intrapartum and postpartum (NSVD and C/S) patients. Able to open and set up a delivery table. Pain assessment and reassessment. Assists with Epidural placement and administration. Able to interpret fetal monitoring and contraction patterns (internal and external) Recognizes deviations from normal maternal, fetal and neonatal status, alert providers and initiate interventions. Able to scrub in the operating room Able to circulate in the operating room Recovers post-operative patients Initiates and assists with breastfeeding, unless medically contraindicated Assigns APGAR scores Can initiate and assist with neonatal resuscitative measures Aware of and assists with policy and procedure review and development Participation in unit-based performance improvement and quality measures Participation in unit and multidisciplinary rounds. IV insertion, phlebotomy and assisting with obtaining vaginal cultures. Involved in discharge planning. Ensuring regulatory requirements are met and maintained. Following OR processes for safety, verification and time-out. Aware of Code Pink infant safety policies and procedures. Provides support for the mother during labor. Measures the strength and timing of contractions Monitors patient’s vital signs according to hospital policy. Administers medications and performs diagnostic tests. Consulting with physicians/providers and other team members. Assists with inducing labor. Provides labor support and coaching mother during labor and delivery. Identifies and assists with complications Assist with various procedures, including Cesarean sections Monitors and performs essential tests on newborns Provides education and support to mothers and family throughout the delivery process Performs duties of transitional nurse: assisting with skin to skin initiation and newborn care after vaginal and cesarean delivery. Provides newborn care including newborn assessment and heel sticks(glucose monitoring) Participates in clinically appropriate continuing education activities. Maintains current nursing knowledge to assure a safe working environment. Maintains competency and updates knowledge of standards of practice in scope of practice as per AWHON. Participates in assigned departmental or organizational committees, meetings and/or conferences. Participates in the department’s performance improvement initiatives to continuously improve the quality of patient care. Participates in the formulation, review and or revision of departmental policies Delegates responsibilities to NA/PCT to ensure tasks are completed; provide assistance as needed Performs other duties as assigned within the RN scope of practice. Qualifications Education: Internal & 1199 SEIU: Graduate of accredited nursing program(s). Bachelor's degree in Nursing preferred. Non 1199 SEIU Candidates: Bachelor’s degree in Nursing or equivalent to BSN program. Master's degree in Nursing, preferred. Experience: Minimum one (1) year neonatal or pediatric experience. Knowledge and Skills: Critical thinking, math, and computer skills; Works as a team player. Demonstrates respect and professionalism in all interactions. Excellent oral and communication skills. Decision making and problem solving. Able to read, write, see and hear English. Licenses, Certifications: Current NY State RN License required. Basic Life Support (BLS) from the American Heart Association, required. Advanced Cardiovascular Life Support (ACLS) from the American Heart Association, required. Neonatal Resuscitation Program Certification (NRP) required. WHO 20 hour Breastfeeding Course (Women and Children Division) or equivalent training, required. Certified Lactation Counselor preferred International Board Certified Lactation Consultant preferred Inpatient Obstetric Nursing Certification preferred. AWHON: Fetal Monitoring Certificate Intermediate and/or Basic preferred. Physical Requirements: Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions. An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions. Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients. Manual and finger dexterity, as well as hand and eye coordination. Corrected vision and hearing to within normal range Frequently sitting at desk working on computer Ability to flex working hours. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview The Clinical Risk Manager is responsible for identifying, analyzing, and mitigating risks that may affect patient safety, staff safety, regulatory compliance, and organizational liability. This role assists the hospital’s risk management program, is involved in adverse event investigations, ensures compliance with regulatory reporting requirements (e.g., state reporting systems, CMS), and partners with clinical and executive leadership to strengthen a culture of safety. Responsibilities Risk Identification & Analysis: Assists in event reporting systems and ensure timely review of incidents, near-misses, and sentinel events. Assists in conducting root cause analyses (RCAs), and apparent cause analyses (ACAs). Identify trends and develop risk mitigation strategies. Maintain risk registers and dashboards. Collaborates with medical staff leadership to support Emergency Department Operations. Regulatory Compliance: Ensure compliance with reporting requirements (e.g., CMS, state DOH, NYPORTS if applicable). Assists with responses to regulatory agencies and accreditation bodies such as The Joint Commission and Centers for Medicare & Medicaid Services. Monitor changes in healthcare regulations affecting patient safety and liability. Claims & Litigation Management: Assists as liaison with legal counsel and malpractice carriers. Assists with claims investigation, documentation preservation, and litigation support. Participate in deposition preparation and case reviews. Patient Safety & Quality Improvement: Collaborate with Quality, Nursing, Medical Staff, and department leaders to reduce preventable harm. Lead high-reliability initiatives and promote just culture principles. Assists in the Development and monitor of corrective action plans. Education & Training: Educate staff on event reporting, risk reduction, and documentation best practices. Lead training sessions on disclosure and communication after adverse events. Policy Development: Assist with the review and update policies related to risk management, patient safety, and compliance. Ensure alignment with national best practices and accreditation standards. Qualifications Education: Bachelor’s degree in Nursing, Healthcare Administration, or related field., required. Master’s Degree is preferred. Experience: Minimum three (3) years clinical experience, required Minimum three (3) years in risk management, quality, or patient safety, required. Prior experience with hospital regulatory reporting systems. Knowledge, Skills and Abilities: Strong knowledge of CMS Conditions of Participation and accreditation standards. Analytical thinking and attention to details: Demonstrates the ability to interpret complex information, identify trends, and develop data-driven solutions. Excellent verbal and written communication, and presentation skills. Investigative skills: Protactively researches issues, gathers relevant facts, and formulates actionable recommendations. Confidentiality & Discretion: Consistently handles sensitive information with professionalism and strict confidentiality. Executive Presence: Represents the organization with confidence, credibility, and professionalism in high‑level interactions. Crisis Management: Responds effectively under pressure, navigating urgent or unexpected situations with sound judgment and composure. Comfort in handling challenging situations that may involve adverse outcomes Proficiency in planning, coordinating and implementing patient and staff safety procedures Ability to work independently and as part of a team Interest in continuous learning and a commitment to staying informed on regulatory changes Work Environment: Hospital or healthcare system setting On-call availability for serious adverse events May require participation in emergency response leadership Physical Requirements: Consistent with that necessary to work in a variety of patient care and office settings. Position requires some periods of standing, reaching, walking (during rounds) throughout the working day. #OBH123 The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
