Rn Care Manager - Bayside, United States - Complete Care Management
Description
_RN Care Manger_
General Purpose/Scope:
Salary:
$90,000 to $95,000
Under the direction of the Care Management Supervisor, the Care Manager is responsible for ongoing assessment of health, environmental, and psychosocial status of members assigned to him/her, six (6) month reassessments using the designated New York State Assessment tool, other plan assessment tools, and ongoing care management of members through telephonic contact.
Responsibilities of the Care Manager_
- Provides care management including care planning, coordination, and assessment of health, environmental, and psychosocial status members on an ongoing basis. These assessments will be conducted in telephonically;
- Monitoring services for quality, effectiveness, and progress toward goals;
- Coordination of transitions including discharge planning from the hospital or nursing home;
- Identifies health, environmental, and psychosocial risks for assigned members and recommends appropriate interventions to the Interdisciplinary Care team;
- Provides ongoing assessment of the effectiveness of the Member's plan of care and discusses and develops a comprehensive Plan of Care in collaboration with the member, family, physician, and other interdisciplinary team members as appropriate by assessing and identifying the clinical, psychosocial and financial needs of the patient/family caregivers. Establish mutually agreed upon goals utilizing evidence based guidelines as available;
- Reviewed member requests for services and supplies, using clinical criteria and provides rational for decision based on clinical criteria, in collaboration with Care Management Supervisor and IDT;
- Conducts semiannual reassessments using New York State assessment tool and other plan defined assessment tools;
- Coordinates services that are covered and not covered to create a comprehensive care plan that meets the medical, psychosocial and financial needs of the member;
- Requests disease management and condition specific plans for member's primary care practitioners and helps facilitate implementation.
- Implements disease management protocols as directed by the Care Management Supervisor and Patient Services Manager;
- Works collaboratively with the Interdisciplinary Care Team;
- Documents care management;
- Performs other jobrelated duties as may be required or directed by the supervisor.
Requirements:_
Language:
The Care Manager will need to be able to speak Bengali
RN License:
The Care Manager's license will need to be New York endorsed.
Experience:
Experience in Managed Care, Home Care or Community setting is strongly preferred.
Core Competencies:
- Integrity: _You are a team member who serves as a positive example. You are trustworthy, honest, and responsible.
- Customer Focus/
Cultural Awareness:
_You are a team member who understands the importance of strong customer service internally and externally.
- Flexibility :_You are a team member who adjusts quickly and effectively to changing conditions and demands.
- Result Oriented/
Innovative Thinking:
_You are a team member who consistently looks for new and innovative approaches that will improve efficiency in your role.
-No Home Visits, Teleworking opportunity_
We provide competitive salary, generous Paid Time Off benefits, 401(k) matching and much more.
Benefit Conditions:
- Waiting period may apply
- Only fulltime employees eligible
Work Location:
- One location
- Training onsite in Bayside, NY office required. Able to work remotely fulltime upon evaluation after training.
Pay:
$90, $95,000.00 per year
Benefits:
- 401(k)
- 401(k)
- Dental insurance
- Disability insurance
- Free parking
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
- Long term care
- Office
Education:
- Associate (preferred)
Experience:
- Nursing: 1 year (preferred)
Language:
- Bengali (required)
License/Certification:
- NYS RN License (required)
Work Location:
In person
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