Nursing Jobs in Gravesend, NY
seeking a reliable caregiver in Matawan, NJ (07747) to assist an older lady (105 lbs) with mobility and light housekeeping. Must be comfortable caring for two small dogs (14 lbs & 20 lbs), including walking and feeding them. Hours: Monday–Friday, 2:30 PM–6:30 PM. 
$93,600 - $109,200 / year
Description RN, Post Acute Care Coord Welcome to Holy Name, a medical center where innovation is not just a goal — it's a commitment. Here, medical excellence thrives, allowing hope to reign supreme and leaving no room for fear. At our hospital, every patient is cared for with undivided attention — because healing every soul is our sole focus. Holy Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology – it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through a variety of residency and educational programs. Our mission to provide care for the body, mind, and soul spans education, prevention, diagnosis, treatment, rehabilitation, and overall wellness. This is at the core of who we are and what we do, and we've done it this way across generations, every single day, for nearly 100 years. Every innovation, medical breakthrough, and groundbreaking treatment is powered by some of the best minds in medicine, ensuring nothing is left on the table or the road to recovery. A Brief Overview The Post Acute Coordinator is responsible for facilitating and coordinating services for patients through the continuum of care. The Post Acute Care Coordinator ensures appropriate utilization of resources and safe delivery of care to all patients and provides quality and cost-effective care resulting in a decrease of the fragmentation of services that can potentially compromise patient care. The Post Acute Care Coordinator collaborates efforts as part of a team in order to facilitate quality, cost effective continuum of care for designated bundled care patients. The Post Acute Care Coordinator will play a pivotal role for patients as part of the interdisciplinary team in order to ensire patient safety, quality of care and positive patient outcomes. What You Will Do Key position within the CMS Bundled Payments for Care Improvement program for the Major Joint Replacement of Lower Extremity Bundle. Develop working relationships with hospital interdisciplinary team members including, Case Managers, Discharge planners, Social Workers, Work with hospital’s case management department to ensure safe discharge to appropriate next site of care; including assessment and coordination of post-discharge needs Collaborate with partners to identify patients discharging to post-acute facilities, where appropriate Serve as a liaison between patient, physicians, staff and rehab facilities, fostering better outcomes and efficiency Establish contact with the post-acute provider prior to the patient’s discharge and implement plan to ensure contact/follow up through the 90 day Post-Acute Care (PAC) phase Follow-up on transitional care plan progress with patient and post-acute providers. Provide assessment of readmissions to determine cause and develop plan. Track patient progress and communication with providers in on-line database. Review and interpret claims data from CMS (provided in user-friendly format Communicate with patient on an on-going basis to improve healthcare outcomes.(Medication review, education, MD follow-up, etc.) Assists with pre op phone calls and participation in Joint replacement education class. Presents data via google slides, etc. as requested to key stakeholders within the organization for review including physician and hospital leadership. Meets with partnering SNF's regulartly onsite to review LOS data, treatment plans, outcomes or discuss challenging patients. Assists with high lace post discharge phone calls, intervenes as necessary to prevent readmission. Provides coverage when needed in the Continuous Care Department as directed by Continuous Care leadership Other duties as assigned Education Qualifications Bachelor's Degree BSN Required and Experience Qualifications 3-5 years of experience in an acute care setting Required and Disease management and discharge planning experience Preferred Knowledge, Skills, And Abilities Analytical and problem solving along with excellent verbal and written communication skills. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid NJ RN License Upon Hire Required BCLS - Basic Life Support Upon Hire Required CCM - Certified Case Manager Upon Hire Preferred At Holy Name, we believe in rewarding every team member with more than a paycheck—we invest in your future and well-being. Full-time and part-time employees have access to a comprehensive benefits package designed to support your health, financial security, and quality of life. We offer low-cost medical coverage with generous employer contributions, dental and vision plans, discounted prescriptions, and access to on-site child care. Additional benefits include 401(k) matching, tuition reimbursement, paid time off, flexible spending accounts, legal and voluntary coverage options, life insurance, and free on-site parking. If you are hired at Holy Name, your final base compensation will be determined based on factors such as employment status (Full/Part-Time or Per Diem) skills, education, and/or experience. In addition to those factors – we believe in the importance of pay equity and consider any internal equity of our current team members as a part of any final offer. Pay Range: $93,600.00 - $109,200.00 Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented staff members. Holy Name is an Equal Opportunity Employer. 
$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 The ADON has overall day-to-day responsibility for directing, supervising and managing the activities of the Case Management Team. Facilitates the Hospital’s goals of reducing length of stay, improving patient care, efficient and effective utilization of resources to ensure appropriate continuum of care of patients. Functions as resource person and troubleshooter for case management team and discharge planning regarding barriers to discharge. Conducts daily rounds. Acts as liaison with nursing and medical staff and other clinical departments to integrate the department’s functions and services with other aspects of the patient care process. Schedules case management team members to ensure adequate coverage. Assists the Director with the development of appropriate staffing plans. Responsible for interviewing, hiring, orientating and the disciplinary process of team members. Assess, revises and maintains established department policies and procedures, objectives, performance improvement program, safety, environmental, and infection control standards in collaboration with Director of Case Management. Negotiates with vendors, providers, and home care agencies to optimize services. Collaborates with managed care companies to facilitate appropriate use of benefits and services to patients (e.g., obtains optimum coverage for patients while in hospital; negotiates appropriate nursing home/home care services with company-approved agencies or arranges for use of alternate agency). ASSISTANT DIRECTOR OF NURSING – CASE MANAGEMENT (NON-UNION) CASE MANAGEMENT 9am – 5pm / FULL-TIME / some weekends and holidays / on-call coverage required Responsibilities For direct care providers: Provides age-appropriate care and intervention for ages of patients served according to job description (e.g., assessments, treatment plans, assists with assessments). [ ] For non-direct care providers: Provides support services using age appropriate interpersonal communication. 1,3 Coordinates discharges that require services of a certified home health agency. 1 Negotiates with vendors, providers, and home care agencies to optimize services. 1,4 Collaborates with managed care companies to facilitate appropriate use of benefits and services to patients (e.g., obtains optimum coverage for patients while in hospital; negotiates appropriate nursing home/home care services with company-approved agencies or arranges for use of alternate agency). 1,3 Functions as clinical resource person for the multidisciplinary health care team, patient and family on insurance benefits, managed care process, clinical and utilization review issues in order to maximize quality of patient care and effectively manage length of care. 1,2 Applies appropriate third-party payor procedures regarding financial coverage, non-coverage and alternate level care. Explains and distributes notifications to patient and/or family representative. 1,5 Completes all forms required for discharge in a timely manner (e.g., Patient Review Instrument). 1,3,4 Reviews all admissions within 24-48 hours to ensure they are appropriate for acute care and are made to the appropriate setting. Identifies potential treatment and discharge problems (e.g., required treatment is not performed at Maimonides Health, patient has no appropriate place to go on discharge). If admission is assessed as inappropriate, consults with responsible physician to clarify the plan of care. Completes assessment for patient discharge planning needs within 24 hours. 1,3 Acts as a liaison with nursing and medical staff and other clinical departments to integrate the department's functions and services with other aspects of the patient care process. 1,3 Consults and collaborates with physicians and other members of the health care team to coordinate plan of care, determine the most cost-effective use of hospital resources, and remove obstacles for timely, efficient discharge. 1,2 Collects and analyzes patient data to advise the health care team on appropriateness of care, patient outcomes and other relevant continuum of care issues. 1,2,3 Key member of Interdisciplinary Team (IDT) rounds. Provides key information to IDT team in regards to DRG, GMLOS, confirm projected discharge date, ensures appropriateness of continued stay, updates the team on discharge planning and any obstacles to discharge identified. Works with team to ensure that all required documentation is provided to ensure early and timely discharges. Escalates any barriers to discharge to management if not resolved timely. 1,2,4 Identifies potential Alternate Level of Care (ALC) (sub-acute) patients; consults with admitting physician to determine the need for acute care admission and discuss alternate plan of care; collaborates with health care team to arrange appropriate placement and ensure appropriate documentation is completed. Validates ALC status with finance and any other stake holders identified. 1,3 Maintains a leadership role in the health care team to ensure high quality patient care; identifies health care team educational needs and participates in developing and implementing programs; coordinates multidisciplinary rounds, referrals and case/family conferences. As the clinical lead on the case management triad, maintains ongoing communication with the Social Work Assistant (SWA) to ensure all facets of the discharge plan are completed. This includes off-loading tasks from the SWA’s and completes them. (e.g., Creating referrals for post-acute services, update discharge planning page, arranging transportation etc.). 1,2,3 Ensures participation of patient/family in treatment plan process, including setting realistic goals based on patient's clinical status. Communicates with patients/families to facilitate post-acute care plan. Confirms with family the discharge disposition, date and time for those patients who request it as well as those patients who do not have capacity. 1,2,5 Coordinates patient care with all hospital departments, community agencies and extended care facilities; acts as a liaison with other organizations to assess appropriateness of transfers. Ensures appropriate clinical documents necessary for post-acute placement are included within the referral. 2,3,4 Provides verbal and written explanation of patient’s plan of care, discharge plan, and post-discharge plan of care, encouraging patient and family to participate in plan development; assesses patient and family understanding of all plans . Provides patient/families choice for post-acute providers when indicated. Documents ongoing discharge planning process and discussions in patient medical record. Reviews with the SWA to ensure that discharge planning page in CarePort, is current and accurate for reporting purposes. In collaboration with the SWA, ensures that discharge planning documentation is current and up to date. As the clinical lead, should discuss with SWA when they need support to complete the activities of the day. 1,3,4 Performs monthly chart reviews. Monitors length of stay, timely scheduling of tests/consultations and reports barriers to department leadership for intervention. Participates in Performance Improvement activities, e.g., submits daily discharge stats and weekly statistics. 1,3,5 Identifies, refers and consults with Social Worker, patients with complex discharge problems of domestic violence, sexual assault, child abuse and elder abuse, etc. 1 Participates in developing and implementing clinical practice guidelines; participates on interdisciplinary and external committees. 1,5 Assessment and patient care responsibilities are delivered with knowledge of patient growth and development and are appropriate to the ages of the patients served. 1,6 Maintains established departmental policies and procedures, objectives, performance improvement program, safety, environmental, and infection control standards. 1 Completes any additional ancillary tasks related to discharge planning as needed or directed by case management leadership. 1,6 Customer Service: respect, flexibility, knowledge, confidence, professionalism, pleasant attitude, patience and helpfulness. All responses should be timely, professional, caring, and respectful in accordance with Customer Service Performance expectations. ___________________________________________________________________________________ Other Job Duties Provides general support to case management process (e.g., faxes documents, arranges team meetings); Arranges for ambulance, ambulette or car service as directed by MD/Nurse Case Manager; obtains necessary prior approvals. Professionally directs activities of support persons, volunteers, students, Community Senior Aides and others as needed. Participates in studies, surveys or research, initiated or approved by the Case Management Department in order to develop knowledge about effective treatment, or improve quality of delivery of service/care. Identifies quality of care issues and refers to appropriate departments/services. Participates in conferences, workshops, and other professional development activities to maintain licensure and/or remain professionally current with advances in field of expertise. Participates in multidisciplinary task forces, committees and projects. Performs other related duties as required. Qualifications Education: BSN Required. MSN preferred Current and valid NYS licensure required. CCM preferred Experience 5 years Clinical Experience in Case Management, Utilization, Discharge Planning Minimum of 2 years of leadership or managerial experience in a healthcare environment, preferred. Skills Proficiency with case management software and EMRs (e.g., Allscripts, Sunrise, or equivalent). Current clinical and technical nursing skills. Knowledge of rules and regulations of child abuse/neglect reporting as appropriate. Knowledge with requirements of regulatory agencies and third-party payors. Demonstrated ability to use word processing, spreadsheet and/or database programs as required by the position. Excellent oral and written communication skills. Excellent interpersonal skills. Good problem-solving, decision-making and judgment skills. Must read, write and speak English to the extent required by position. Pay Range USD $136,708.00 - USD $150,000.00 /Yr. Equal Employment Opportunity Employer Maimonides Medical Center (MMC) is an equal opportunity employer. 
