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    Healthcare - Care Manager V - Hybrid, United States - LanceSoft Inc

    LanceSoft Inc
    LanceSoft Inc Hybrid, United States

    1 week ago

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    Description

    Position:
    Care Manager V


    Location:
    Hybrid, NY

    Borough: 2. Bronx/ Westchester temps will visit members in their homes, assisted living facilities and nursing homes.

    Daily responsibilities will be conducting UAS Assessments to support care management. Candidates will be assigned a minimum of 15 cases per week.

    Orientation:
    Orientation will be 5 days for current UAS certified RNs

    Spanish & Bengali bilingual candidates required

    Required Experience:
    Management will accept


    ONLY:
    UAS Certified RN licensed in the state of NY

    New grads will be considered.

    Candidates with no UAS will be considered if they have experience with home care management.


    Required Education:
    Bachelor's Degree or Health Education (a combination of experience and education will be considered in lieu of degree).


    Required Licensure/Certification:
    NY State RN License.


    Essential Functions/Responsibilities:

    • 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 act 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
    • Modify ICP/PCSP as appropriate to member's needs and progress
    • 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.
    • Prepare for and participate in clinical case reviews to share best practices.
    • Adhere to SWH documentation policies and procedures including documentation of clinical assessment activities and their effectiveness.
    • Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population
    • Collaborate with other SWH Care Managers to reduce variations in clinical practice, identify opportunities for systems' improvement, and develop policies and procedures relevant to practice.
    • Provide backup to other Assessment nurses as needed
    • Analyze data and use it to improve care delivery
    • Performs other duties as assigned.

    Skills/Aptitudes:

    • Strong professional level of knowledge and comprehensive clinical assessment skills in the adult population and chronic disease management
    • Excellent communication skills

    Strong computer skills:
    competent in Microsoft Office Products (Outlook, Word, Excel)


    • Ability to work independently and maintain flexibly in fast paced environment
    • Ability to analyze data and use it to improve care delivery
    • Self-starter with high level of accountability and responsibility for outcome of care
    • Highly organized and able to manage multiple priorities appropriately
    • Independent problem solving skills
    • Able to work collaboratively and build enduring relationships with providers, members and the multidisciplinary team
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