- Develop, assess and adjust, as necessary, the care plan and promote desired outcome
- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
- Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
- Provide patient and provider education
- Facilitate member access to community based services
- Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
- Actively participate in integrated team care management rounds
- Identify related risk management quality concerns and report these scenarios to the appropriate resources
- Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
- For LTSS - 30% travel to perform home visits to members
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Care Manager
6 days ago
New Alternatives for Children, Inc. New York, United StatesNew Alternatives for Children, Inc. (NAC) is an award-winning not-for-profit agency in Midtown Manhattan, with a satellite Bronx office, dedicated to serving children and families with medical complexity, chronic health conditions, significant disabilities and behavioral challeng ...
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Care Manager
2 weeks ago
Care Collab D.B.A Direct Care Management New York, United States**Position Summary**: · - Care Collab_ provides care coordination services to high-utilization Medicaid members with chronic medical and behavioral health conditions. We're currently seeking a dynamic **Care Manager** to play a central role in the active engagement and coordinati ...
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Care Manager
1 day ago
VNS Health New York, United States Full timeOverview · Conducts assessments and develops client/member centered plans of care. Provides coordination of services between the varying providers for clients / members with complex psychiatric, substance use, and/or co-morbid medical conditions. Ensures access and linkage to the ...
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Care Manager
1 week ago
VNS Health New York, United States Full timeOverview · Conducts assessments and develops client/member centered plans of care. Provides coordination of services between the varying providers for clients / members with complex psychiatric, substance use, and/or co-morbid medical conditions. Ensures access and linkage to the ...
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Care Manager
1 week ago
NYU Langone Health New York, United States**NYU Langone Health** is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's h ...
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Care Manager
1 week ago
Sun River Health New York, United States_Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is a Federally Qualified, No ...
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Clinical Care Manager
17 hours ago
VNS Health New York, United States Full timeOverview · Our clinical care management services are anchored in evidence-based practices to optimize the utilization of healthcare benefits and services. We are dedicated to delivering personalized care that empowers patients to safely manage their health within the comfort and ...
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Clinical Care Manager
17 hours ago
VNS Health New York, United States Full timeOverview · Our clinical care management services are anchored in evidence-based practices to optimize the utilization of healthcare benefits and services. We are dedicated to delivering personalized care that empowers patients to safely manage their health within the comfort and ...
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Manager, Patient Care
1 week ago
Northwell Health New York, United States Full timeUnder the leadership of the Patient Care Director, the Manager Patient Care (PC) has 24/7 fiscal, clinical and operational accountability. The Nurse Manager is responsible for a direct care unit or units within Northwell Health. · - Utilizing the nursing process, the manager is r ...
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Clinical Care Manager
1 day ago
VNS Health New York, United States Full timeOverview · Provides telephonic clinical care management services using evidence-based practices to ensure effective utilization of benefits, services, and care is provided to the patients allowing them to remain safely in their home/community. · Compensation: · $93, $116,800.00 A ...
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Clinical Care Manager
1 day ago
VNS Health New York, United States Full timeOverview · Provides telephonic clinical care management services using evidence-based practices to ensure effective utilization of benefits, services, and care is provided to the patients allowing them to remain safely in their home/community. · Compensation: · $93, $116,800.00 A ...
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Care Management Associate
1 week ago
MetroPlusHealth New York, United States**Position Overview**: · The Care Management Associate, under the direction of the CMA Supervisor, is responsible for the daily activities of the member case intake functions and associated workflow, as well as for performing other duties associated with the coordination of membe ...
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Case Manager/care Coordinator
1 day ago
Volunteers of America - Greater New York, Inc. New York, United StatesVolunteers of America-Greater New York (VOA-Greater New York) is an anti-poverty organization working to end homelessness in the New York area by 2050. We operate over 60 programs across New York City, Northern New Jersey and Westchester County including emergency, transitional a ...
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Children's Care Manager Manhattan
4 days ago
Sun River Health New York, United States_Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is a Federally Qualified, No ...
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Health Home Care Manager
1 week ago
ArchCare New York, United StatesOverview: · **Overview**: · ArchCare cares for people of **all **ages and faiths where they are most comfortable and best able to receive it - **_at home, in the community and in nursing homes_**. As the Continuing Care Community of the Archdiocese of New York, we see enhancing t ...
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Home Care Relationship Manager
1 week ago
Home Health Care Agency New York, United States**Incare Home Health Care** is a NYS licensed home care provider proudly serving all five boroughs and Westchester. Our agency believes in providing quality care that meets the vision and needs of our elderly population so they may age with dignity and safety in the comfort of th ...
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Care Manager/social Worker
3 days ago
Selfhelp Community Services Inc New York, United States**Position Summary**: A care manager/ social worker works with health systems and providers to identify and serve older adults. Identify opportunities within the community programs that would benefit client's needs. · **Principal Responsibilities**: · - Provides care coordination ...
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Client Care Relationship Manager
1 day ago
Piermont Bank New York, United States**About Us**: · **The Role**: · **Responsibilities**: · - Identify and acquire new banking opportunities for Piermont Bank through business development and bank marketing campaign efforts. · - Responsible for managing, staffing, and scheduling all direct report work schedules wit ...
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Care Manager
1 week ago
Anchor Health Home Care Brooklyn, United States_At Anchor Health Home Care, we deeply appreciate the privilege of being welcomed into the family circle to provide care for our neighbors' beloved family members._ Our dedicated corporate office team at Anchor Health Home Care serves as the central hub for communication among cl ...
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Care Manager
6 days ago
The Family Center Brooklyn, United StatesThe Family Center is seeking a **Full-Time Care Manager, **who will assist in the full implementation of the Healthy Branches program, with a special focus on resolving barriers to engagement in services, ensuring linkages to medical care and assisting with managing chronic healt ...
Care Manager - Newark, United States - Centene Corporation
Description
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.
Licenses/Certifications: Current state's RN license.
LTSS Requirements: Valid driver's license and proof of car insurance.
50% In-field required
Middlesex, Union County travel radius - up to about 50 miles
Pay Range: $54, $97,100.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.