St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.

St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.

St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.

St. John’s Riverside Hospital  is an equal opportunity employer. We maintain a policy of non-discrimination in providing equal employment to all qualified employees and candidates regardless of race, creed, color, national origin, sex, age, disability, marital status, or other legally protected classification in accordance with applicable federal, state, and local law.

Personalized care together with advanced technology is what it

The Continuing Care Specialist assists in meeting the psychosocial, financial and discharge planning needs of patients and families through assessment and/or referral.

Oversees the Case Management Analyst monthly reports, including but not limited to denial reports, PI reports, and department goals.

1. Educates, coordinates, and collaborates with nurses, physicians and interdisciplinary members of the healthcare team, to assure an ongoing comprehensive discharge plan.  CCC will present the Important Message from Medicare with in 2 days of discharge during regular department hours as needed.
2. Assesses patients admitted from Adult Homes, Senior Living or Assisted Care and for patients admitted to the Intensive Care Unit and begins to develop a safe discharge plan.
3. Receives referrals from the Emergency Department for patients with Psychosocial, financial, skilled nursing and equipment needs.
4. Receives referrals and consults from Case Managers, RN’s and MD’s, assesses the patient and determines a safe discharge plan for patient.
5. Counsels the patient and significant others in the admitting criteria and referral process of external agencies.
6. Counsel’s patients and their families in relation to anxieties and stress precipitated by illness and hospitalization.
7. Collaborates with community professionals in order to develop a safe discharge plan and maintain continuity of care.
8. Obtains community resources in order to develop discharge plan and continuing care for the patient.
9. Provides for patient choices when referring to skilled nursing facilities, terminal care facilities, psychiatric programs, visiting nurse referrals and substance abuse programs and provides written federal guidelines.
10. Assists in obtaining MD orders and insurance instruction for patients post hospital continuing care needs.
11. Assists the family members and significant others in arranging for burial of a patient.
12.  If assigned to OB, must assess for a potential cases of child abuse and neglect and makes appropriate referrals.
13. If assigned to OB, performs insurance reviews for maternity patients and newborns.
14. Oversee and assist the case management analyst to make sure denial, PI, and Department goals are up to date and completed in a timely manner
15. Escalate any reporting issues to Director of Case Management

16. Oversees analyst with monthly denial and PI report.
17. Oversees analyst with monthly/weekend Nursing Home reports regarding Referrals and Placements to SNF.
18. Overseeing analyst with daily denial and EOD reports sent to the RN Case Managers.
19. Oversees CM Assistants with Empress transports including bills, letters of medical necessity forms, and authorizations.
20. Oversees CM Assistants with Medicaid and commercial insurance transports regarding obtaining authorizations and being an administrator for all MAS websites.
21. Coverage for weekend reporting to Department of Health for COVID statistics.
22. Weekday coverage for ED Status Report for Administration.

• Bachelors in Social Work required.
• Masters in Social Work preferred.
• Knowledge of Medical Terminology.
• Bilingual in Spanish preferred.
• NYS Screen assessment preferred.