Healthcare - Care Manager V

1 week ago


Syracuse, New York, United States APN Consulting, Inc Full time
Bilingual - RN Care Manager V
Syracuse, NY (Field position)

Field position in Upstate SYRACUSE, NY temps will visit members in their homes, assisted living facilities and nursing homes.

Daily responsibilities will be conducting UAS Assessments to support care management
Bilingual in any language is preferred.
New grads will be considered.
Candidates with no UAS will be considered if they have experience with home care management.
Bachelor's Degree or Health Education (a combination of experience and education will be considered in lieu of degree).
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
  • 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.
  • 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.
  • Analyze data and use it to improve care delivery
  • Strong professional level of knowledge and comprehensive clinical assessment skills in the adult population and chronic disease management

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

  • Ability to analyze data and use it to improve care delivery
  • Self-starter with high level of accountability and responsibility for outcome of care
  • Responsible for health care management and coordination of *** 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

Coordinates and monitors Client members progress and services to ensure consistent cost effective care that complies with Client policy and all state and federal regulations and guidelines.

o Conducts assessment of member needs by collecting in-depth information from Clients information system, the member, members family/caregiver, hospital staff, physicians and other providers
o 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
o Performs ongoing monitoring of the plan of care to evaluate effectiveness
o Documents care plan progress in Clients information system
o Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes
Promotes integration of services for members including behavioral health and long term care to enhance the continuity of care for Client members
Maintains department productivity and quality measures
Manages and completes assigned work plan objectives and projects in a timely manner
Attends regular staff meetings
Participates in Interdisciplinary Care Team (ICT) meetings
Maintains professional relationships with provider community and internal and external customers
Work independently and handle multiple projects simultaneously
Knowledge of ICD-9, CPT coding and HCPC
Computer skills and experience with Microsoft Office Products
Ability to abide by Clients policies

Bachelors Degree in Social Work or Health Education (a combination of experience and education will be considered in lieu of degree).


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