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The CTCC’s role in discharge planning aims for quality care and the identification of appropriate and timely services for progression of care and for post-acute discharges.  The job responsibilities include proactive involvement in the IDT, screening for patients at risk for readmission with focus on disease management, completing PRI’s, Screens (Wakefield only), EDD oversight, managing SNF returns, addressing discharge sensitive issues, including discharge appeals, clinical input with post- acute authorizations, assisting with the care planning for the chronically ill and complex patients, and teaming up with nursing to make sure that patient education is done timely for discharges. The CTCC/CM will participate in the oversight of TB requirements for discharge.


Bachelors Degree required, Masters preferred

5 years experience


New York State License for Registered Professional Nurse and current registration

Case Management Certification preferred.

PRI Assessor number 

CPR Certified




Department: Care Management Bargaining Unit: NYSNA Campus: EINSTEIN  Employment Status: Regular Full-Time Address: 1825 EASTCHESTER RDShift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 210226 Salary Range/Pay Rate:    $55.2798       


For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.


To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here 


Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.


Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. 



To heal, to teach, to discover and to advance the health of the communities we serve.

To be a premier academic medical center that transforms health and enriches lives.

Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

  • Humanity
  • Innovation
  • Teamwork
  • Diversity
  • Equity