Nursing Jobs in Bronxville, NY
$136,708 - $150,000 / year
About Us We’re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients each year through the system’s 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation’s largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clinical programs rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine. Overview Under the Direction of the VP of Nursing and Director of Nursing, the Assistant Director of Nursing directs the clinical and administrative functions of assigned nursing units to ensure high quality, effective patient care and effective use of labor and non-labor resources. Works with the senior nursing management leadership team to evaluate nursing services and patient care; assists with planning, developing, and implementing policies, procedures and standards for patient services and monitors reporting units for compliance. Participates in the selection and development of effective leadership teams of clinical managers and professional staff. Labor and Delivery Full-Time / On-Site Evenings/ Nights (flex) / 4 - days per week Responsibilities REQUIRED LEADERSHIP COMPETENCIES: Communication: Strong written and verbal skills are demonstrated in reports, correspondence and presentations. Ensures staff are kept informed of Maimonides Health and departmental priorities. Communicates the vision statement and Maimonides Health’s strategic priorities and demonstrates commitment toward their achievement. Professional Development: Participates in conferences, workshops and other professional development activities to maintain licensure and/or remain professionally current with advances in field of expertise. Staff Development: Ensures staff receive mandated in-servicing in Safety, Quality Assurance, Risk Management, Customer Service, Infection Control and any other in-service that may apply. Problem Solving: Recommendations and decision making reflect strong analytical skills and focus on quality, cost containment, and impact of change on other departments. Customer Service Management: Incorporates Maimonides Health's Customer Service goals in developing and/or revising departmental policies and systems. Continually reviews the service delivery process to exceed customer expectations. Is perceived as a role model by staff, peers in customer service leadership. Project Management: Participates in multi-disciplinary task forces, committees and projects, demonstrating team spirit and ability to work with different internal customers. When leading a project team demonstrates the ability to bring together different views and skills toward timely and effective completion of project objectives. Clinical Leadership: Clinical management staff provides clinical supervision. Leads clinical (treatment) planning meetings. Provide in-service training and maintenance of clinical standards. May provide leadership for hospital-wide clinically oriented committees. ___________________________________________________________________________________ RESPONSIBILITIES: CLINICAL RESPONSIBILITIES: * Works with the senior nursing management leadership team in establishing unit goals and objectives and periodically evaluates progress towards goals, consistent with Maimonides Health’s goals. * Assists with planning, developing, and implementing policies, procedures and standards for patient services and monitors reporting units for compliance. * Participates in designing protocols and documentation tools for assign Nursing area(s); defining nursing responsibilities and roles in new procedures. Works with the senior nursing management leadership team and members of the healthcare team to develop, monitor, implement and evaluate nursing standards. * Evaluates training and educational needs of staff, in conjunction with the Clinical Nurse Specialist (CNS) orientation programs and in-services for nurses and other Emergency Medicine Staff. Documents develop and implement nursing conferences and meetings as appropriate. * Provides and communicates information to members of the healthcare team on a variety of clinical and administrative matters (e.g., new products, equipment and techniques); assesses and evaluates the process of new programs and makes recommendations to management on implementation and/or acquisition of new products/techniques; conducts in-services as required. Assists the senior nursing management leadership team in identifying CQI projects. Works with leadership in developing, implementing and monitoring quality assurance projects as well as analyzing data. * Participates in the selection, hiring, and supervision of clinical leadership and professional staff; initiates disciplinary action, carries out annual performance appraisal of employees, recommending promotions, raises, training, etc. Assists the Director of Nursing in preparing and developing the annual capital budget for the department by selecting and recommending the purchase of equipment and other items necessary to move the department forward in technology and improve departmental efficiency. Assists in preparation of the departmental operating and personnel budgets; manages the budget throughout the year, analyzes and monitors monthly reports and overtime runs for the department to ensure that the department operates within budget guidelines. * Reviews standards and related policies and procedures for compliance with requirements of regulatory agencies; recommends and implements changes as required and ensures changes are communicated to Patient Services staff; monitors and reviews departmental and unit compliance with reporting requirements. * Responds to problems that arise on a daily basis; resolves where possible, referring problems or responses to the appropriate individual as required; reviews and investigates all complaints received by the department with department members to ensure speedy resolution and reply. Works with the Director of Nursing in directing the maintenance of departmental facilities, equipment, supplies and materials in a condition to promote efficiency, health comfort and safety of patients and staff. * Maintains established department policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards. *Indicates an essential job function. Qualifications Requirements: BSN Degree 5 years clinical L&D experience. 2 years leadership experience (Charge Nurse, Team Leader). Strong leadership skills with the ability to oversee and advance nursing practice and lead patient care operations. Flexible with time, excellent communication, organizational and interpersonal skills. Excellent customer service skills BCLS, ACLS, NRP Specialty certification Preferred MSN Degree Pay Range USD $136,708.00 - USD $150,000.00 /Yr. Equal Employment Opportunity Employer Maimonides Medical Center (MMC) is an equal opportunity employer. 
$85,000 - $106,300 / year
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state and federal regulations. Delivers timely notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost effective. Works under general supervision. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do Conducts comprehensive review of all components related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical providers, paraprofessional staff, caregivers and other relevant sources as necessary. Examines standards and criteria to ensure medical necessity and appropriateness of admissions, treatment, level of care and lengths of stay. Performs prior authorization and concurrent reviews to ensure extended treatment is medically necessary and being conducted in the right setting. Reviews requests for outpatient and inpatient admission; approves services or consults with medical directors when case does not meet medical necessity criteria. Ensures compliance with state and federal regulatory standards and VNS Health policies and procedures. Participates in case conferences with management. Identifies opportunities for alternative care options and contributes to the development of patient focused plan of care to facilitate a safe discharge and transition back into the community after hospitalization. Reviews covered and coordinated services in accordance with established plan benefits, application of evidenced based medical criteria, and regulatory requirements to ensure appropriate authorization of services and execution of the plan’s fiduciary responsibilities. Identifies and provides recommendations for improvement regarding department processes and procedures. Maintains current knowledge of organizational or state-wide trends that affect member eligibility and the need for issuance of Determination Notices Improves clinical and cost-effective outcomes such as reduction of hospital admissions and emergency department visits through on-going member education, care management and collaboration with IDT members. Provides input and recommendations for design and development of, processes and procedures for effective member case management, efficient department operations, and excellent customer service. Maintains accurate record of all care management. Maintains written progress notes and verbal communications according to program guidelines. Participates in approval for out-of-network services when member receives services outside of VNS Health network services. Provides case direction and assistance ensuring quality and appropriate service delivery. Keeps current with all health plan changes and updates through on-going training, coaching and educational materials. Assesses, plans, facilitates and advocates for options and services to effectively manage an individual’s health needs. Promotes quality and cost-effective outcomes at all times. Provides telephonic case management to members, balancing clinical, social, and environmental concerns. Provides analysis of initial health evaluation and comprehensive assessment of the member/family psychosocial status and case management needs. Participates in the development, coordination and implementation of the care plan to address specific needs of the member/family including thorough transitions between settings of care. Coordinates with community providers to ensure efficient and effective transitions and delivery of care in the home and community. Consults with the member, family, and members of the inter-disciplinary team to coordinate the treatment plan, education, self-care techniques and prevention strategies. Verifies that all aspects of the clinical record are in agreement with the member’s clinical and functional status. Utilizes VNS Health and state approved assessment and documentation as well as interviews with members, family, and care providers in decision-making. Performs annual clinical co-visits for nurses as well as two initial co-visits during the first six months for new hires as follows: one within first three weeks and a second within the first six months. Provides feedback to therapist and management; assists in development of plans to address improvement needs as appropriate. Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: Current license to practice as a Registered Professional Nurse in New York State required Certified Case Manager preferred Education: Associate's Degree in Nursing required Bachelor's Degree or Master’s degree in nursing preferred Work Experience: Minimum two years of experience with strong cost containment /case management background or two years acute inpatient hospital experience in chronic or complex care required Must have experience and qualifications demonstrating knowledge of working with the LTSS eligible population. preferred Knowledge of Medicare and Medicaid regulations required Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills. Working knowledge of Microsoft Excel, Power-Point, and Word and strong typing skills required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred Pay Range USD $85,000.00 - USD $106,300.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. 
$85,000 - $106,300 / year
Overview Conducts and reviews UAS-NY comprehensive assessments of potential and existing members. Establishes an individual Plan Of Care based on members clinical, environmental, and social needs to support member safety in the community. Identifies solutions that promote high quality and cost-effective health care services in accordance with VNS Health Plans policies, state and federal regulations.. Manages requests for services from providers, members, and care management team. Works under general supervision. • Conduct face-to-face or telehealth UAS-NY assessments according to state guidelines, policies, procedures, and protocols. • Utilize clinical skills to assess and document all aspects of the potential members long-term community-based needs. • Communicate with members, families, providers, and other parties as needed to complete an accurate comprehensive assessment. • Utilizes VNS Health and state-approved assessment questionnaire, guidelines, and documentation as well as interviews with members, family, and care providers in decision-making. • Performs in-home assessment for members who have identified significant changes in condition since last in-home assessment; provides comprehensive review and determination of member’s needs, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans including upstate and downstate counties. • Performs in-home assessment on members to determine the appropriate service plan, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans. • Explains VNS Health Plan benefits, including an explanation of the member's handbook. • Ensures compliance with state and federal regulatory standards and VNS Health Plans policies and procedures. • Identifies opportunities for alternative care options and contributes to the development of a safe member centered service plan. • Consult with supervisor and others in overcoming barriers in meeting goals and objectives. • Maintains current knowledge of organizational and state-wide regulations that affect member eligibility. • Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals, Compliance, Membership Eligibility Unit, Quality as needed. • Participates in requests for out-of-network services when a member receives services outside of VNS Health Plans network services. • Keeps current with all health plan changes and updates through on-going training, coaching and educational materials. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: Current license to practice as a Registered Professional Nurse in New York State required Certified Case Manager preferred Valid driver's license or NYS Non-Driver photo ID card required as determined by operational/regional needs required Education: Bachelor's Degree in nursing or similar field required Work Experience: Minimum two years of clinical assessment, homecare or hospital experience preferred Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills required Demonstrates strong relationship management skills, including a high degree of interpersonal communication l and non-aggressive assertiveness required Demonstrates successful conflict management skills and achieving “win-win” solutions required Working knowledge of Microsoft Suite Products e.g. Excel, Power-Point, Word required Knowledge of Medicaid and Medicare regulations required Working Knowledge of UAS-NY preferred Pay Range per Visit: If you are applying to the per diem per visit version of this job, the hiring range is as follows: $80 per visit. Pay Range USD $85,000.00 - USD $106,300.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. 
