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- What languages are required? Spanish
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Healthcare - Care Manager III - New York, NY, United States - APN Consulting, Inc
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Description
Job Title:
Care Manager III
Location:
Remote
Will the position be 100% remote? There are some circumstances that CM need to visit mbr at home or in facility
No- They can sit anywhere in US as long as they are licensed in NY State but they will not be able to convert to perm if they are not in tri state area.
Also NOT in just a hospital or nursing home or facility.
Responsible for health care management and coordination of *** members in order to achieve optimal clinical, financial and quality of life outcomes
Works with members to create and implement an integrated collaborative plan of care
Coordinates and monitors Client members progress and services to ensure consistent cost effective care that complies with Client policy and all state and federal regulations and guidelines
o Conducts assessment of member needs by collecting in-depth information from Clients information system, the member, members family/caregiver, hospital staff, physicians and other providers
o Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs
o Performs ongoing monitoring of the plan of care to evaluate effectiveness
o Documents care plan progress in Clients information system
o Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes
Promotes integration of services for members including behavioral health and long term care to enhance the continuity of care for Client members
Maintains department productivity and quality measures
Manages and completes assigned work plan objectives and projects in a timely manner
Attends regular staff meetings
Participates in Interdisciplinary Care Team (ICT) meetings
Maintains professional relationships with provider community and internal and external customers
Work independently and handle multiple projects simultaneously
Knowledge of ICD-9, CPT coding and HCPC
Computer skills and experience with Microsoft Office Products
Ability to abide by Clients policies
Bachelors Degree in Social Work or Health Education (a combination of experience and education will be considered in lieu of degree)