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Registered Nurse Case Manager New

New York, NY

Details

Positions Available

Full Time

Salary Information

85,000

No recruiters please


Position Description

I am assiting a client with their search for a Registered Nurse Case Manager to join their Manhattan based team. My client is a leader in providing affordable and innovative health care plans for the dually eligible. 

Responsibilities: 

  • Travel to members' homes to conduct face-to-face and telephnoic assessments of members' functional status, behavioral, psychosocial and community resource needs
  • Develop an ICP/PCSP based on members’ clinical, behavioral and social needs that incorporates barriers to care.
  • Coordinate and arrange for all services required by a member in accordance with the ICP
  • Modify ICP/PCSP as appropriate to member’s needs and progress
  • Educate prospect on plan medical benefits, policies and procedures for members, providers and community based agencies
  • Adhere to documentation policies and procedures including documentation of Care Management activities and their effectiveness
  • Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population
  • Collaborate with other Care Managers to reduce variations in clinical practice, identify opportunity for systems’ improvement, and develop policies and procedures relevant to practice
  • Provide backup to other Nurse Care Managers who conduct reassessments as needed
  • Performs other duties as assigned

Required Experience: 

  • Unrestricted NY RN License
  • Minimum 2 yeras of experience with home care, care management, recent acute care, or physician office experience. 
  • UAS Experience is Required
  • Bilingual in Bengali