- Responsible for health care management and coordination 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.
- Provides case management services to members with chronic or complex conditions
- Proactively identifies members that may qualify for potential case management services.
- Conducts assessment of member needs by collecting in-depth information from information system, the member, member's family/caregiver, hospital staff, physicians and other providers
- Identifies, assesses and manages members per established criteria.
- 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.
- Performs ongoing monitoring of the plan of care to evaluate effectiveness and documents care plan progress in information system.
- RN, LMSW, LCSW Licensure in NYS Required
- Must have 1-2+ years in case management experience in a clinical setting
- Bilingual in Spanish required
- Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
- Analytical experience including medical data analysis.
- PC proficiency including Word, Excel, and PowerPoint, database experience and Web based applications.
- Must be able to to lift at least 30lbs
- Must be able to stand or sit for prolonged periods (75% of the time)
- Private Secured Internet Connection
- Must confirm work environment is safe and secure for work in handling private and sensitive information.
- Constantly operates a computer and other office equipment
- Constantly works indoors in a secluded safe space
- Must have High-speed internet access 25 MBPS minimum; 50 MBPS minimum preferred
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Bilingual Case Manager III - Bronx, United States - AltaStaff
Description
AltaStaff is a staffing agency currently looking for a Licensed Case Manager III to work with our Managed Care Client
Pay Rate: $35.00 -$42.00 hourly
Shift: Monday - Friday 8am - 5pm
***Candidates must be bilingual in Spanish***
***This is a fully remote position but candidates must be licensed in NYS***
Summary: This role conducts monthly calls to members to review/create person centered service plans and coordination of care.
Responsibilities:
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