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Healthcare Care Manager V | UAS Certified

3 months ago

Syracuse, United States Professional Management Enterprises Full time
Job DescriptionJob Description

RN Care Manager to conduct UAS Assessments to support care management. The position will be a field position in Syracuse, NY.  Schedule will be M-F 8:30AM-5PM. ***MUST be RN UAS Certified. Bilingual in any language is highly preferred.

Essential Functions/Responsibilities:

  • UAS Certified RN licensed in the state of NY.
  • 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 acts 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.
  • Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population.

Required Education:
Bachelor's Degree (a combination of experience and education will be considered in lieu of degree).
Required Licensure/Certification:
NY State RN License in good standing.

Company DescriptionProfessional Management Enterprises is a minority and veteran owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceeds their expectations.Company DescriptionProfessional Management Enterprises is a minority and veteran owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceeds their expectations.