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(Archived) Case Manager Opportunity in New York

Last Updated: 9/08/16

Job Description

Case Manager I - Full-time or Part-time position

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
• Develop, assess and adjust, as necessary, the care plan and promote desired outcome
• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
• Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
• Provide patient and provider education
• Facilitate member access to community based services
• Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
• Actively participate in integrated team care management rounds
• Identify related risk management quality concerns and report these scenarios to the appropriate resources
• Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems

Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in an acute care setting. Knowledge of healthcare and managed care preferred. Previous experience using TruCare system. Strong Excel expereince Background in LTSS, LT-UM, LTC, MLTC Caseload of 65+ Will consider 2yrs of clinical exp in acute care as an LPN but must have New York RN lic active/in good standing today

Licenses/Certifications: Current state’s RN license required

Location preference (Rochester/Broome County): BROOME COUNTY CANDIDATES MUST LIVE THERE OR BE WILLING TO RELOCATE (Will be Telecommute as we don't have an office in that area)


Company Details

Woburn, Massachusetts, United States
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