Registered Nurse Care Manager providing in-home assessments and care coordination for members. Collaborating with healthcare teams to develop patient plans and ensure quality outcomes.
Responsibilities
Provides care coordination, including in-home assessment, planning, facilitation, advocacy, and authorization of covered plan services
Ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status
Authorizes covered services and coordinates care regardless of payer
Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team
Performs home visits as required to assess members’ living situation, cultural influences, functional and cognitive needs
Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member
Ensures appropriate, safe plan for members’ discharge from their plan
Identifies same day grievances, investigates and documents accordingly
Identifies members requiring Care Management Review (CMR) and evaluates documentation provided by the IDT
Develops efficient plans of care, authorizing only needed services at the most appropriate levels
Requirements
Associates degree in Nursing required
Bachelor's degree in Nursing preferred
Three (3) years of experience as a registered nurse required
Clinical experience in geriatrics and/or managed long-term care experience preferred
Experience using multiple languages may be required based on operational needs
Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
Bilingual speaking and writing skills are preferred.
Benefits
Comprehensive total rewards package
Bonus tied to company and individual performance
Job title
Registered Nurse, Care Manager - Bronx/Westchester
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