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Syracuse

    Care Manager V - Syracuse, United States - Professional Management Enterprises

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    Description
    RNCare Managertoconduct UAS Assessments to support care management. The position will be a field positionin Upstate SYRACUSE, NY. Schedule will be M-F 8:30AM-5PM.***MUST be UAS Certifiedandbilingual in any language is highly preferred.

    Essential Functions/Responsibilities:
    • UAS Certified RN licensed in the state of NY.
    • Conduct face to face assessments of members' functional status, medical, behavioral, psychosocial and community resource needs.
    • Provides the Interdisciplinary Care Team (ICT) with assessment information and acts as facilitator to ensure that members' needs are met.
    • Develop an ICP/PCSP based on members' clinical, behavioral, and social needs that addresses barriers to care.
    • Competently assesses members' health status and ensures that member is receiving all necessary medical and supportive services.
    • Manage care transitions through effective and timely communication necessary for member care and discharge planning.
    • Clarifies SWH plan medical benefits, policies and procedures for members, providers and community-based agencies.
    • Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population.
    Required Education:

    Bachelor's Degree (a combination of experience and education will be considered in lieu of degree).

    Required Licensure/Certification:

    NY State RN Licensein good standing.

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