Open Position: RN Care Manager

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Job Title: Nurse Care Manager
Location: Bronx, NY
Salary: $93-$98,000 depending on experience
Qualifications: Current NYS RN Licensure
Bachelor's Degree in Nursing from an approved program preferred
Care Management Certification preferred
At least 3 years of RN experience with clinical expertise in geriatrics preferred
Manage long term care experience preferred
Ability to read, analyze, and interpret general business correspondence, and procedure manuals
Position Summary: Responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost-effective outcomes. Works with ember/family to maintain the most independent living situation possible; ensures consistent care along the entire health care continuum by assessing and closely monitoring member's needs and status. Authorizes covered services and coordinates care regardless of payer. collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team.

Specific Duties:
- Assess, plans and provide continuous care management across all venues of care, including hospital, subacute, long term and home settings
- Assess regularly members for ongoing eligibility for services based on the specific plan's eligibility criteria
- Performs home visits as required - every 6 months and as necessary for MLTC, to assess members living situation, cultural influences, functional and cognitive needs
- Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient-Centered Service Plan (PCSP) for the member
- Assesses members for services and provide authorizations according to the PCSP
- Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care Management Meetings (ICM)
- Refers members for and coordinates necessary health-related services regardless of payer source
- Collaborates with facility discharge planners and appropriate members of the interdisciplinary team to facilitate the safe transition of care between settings
- Ensures appropriate, safe plan for members discharge from their plan
- Performs other duties as assigned and directed

Date Posted:



Bronx, NY

Employment Type:



Noor Staffing Group