Care Manager V

3 weeks ago

New York, United States Integrated Resources, Inc Full time
Job Title: Care Manager V (New Grad RN)
Location: New York, NY
Duration: 6 Month Contract (+possible Extensions)
 
Pay range:  $56.38/hr. on W2
 
Responsibilities:
Schedule will be M-F 8:30AM-5PM.
Borough: Brooklyn, Queens, Manhattan, Bronx/ Westchester will visit members in their homes, assisted living facilities and nursing homes.
Daily responsibilities will be conducting UAS Assessments to support care management.
Candidates will be assigned a minimum of 15 cases per week.
Orientation: 3 to 4 weeks training for fresher and Orientation will be 5 days for current UAS certified RNs

Required Experience:
New grads will be considered or UAS Certified RN licensed in the state of NY.
Candidates with no UAS will be considered if they have experience with home care management.

Required Education:
Bachelor's Degree or Health Education (a combination of experience and education will be considered in lieu of degree).

Required Licensure/Certification:
NY State RN License.

Essential Functions/Responsibilities:
• 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
• Modify ICP/PCSP as appropriate to member’s needs and progress
• 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.
• Prepare for and participate in clinical case reviews to share best practices.
• 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.
• Provide backup to other Assessment nurses as needed
• Analyze data and use it to improve care delivery
• Performs other duties as assigned.

Summary:
Responsible for health care management and coordination of *** members 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.

Required Licensure/Certification:
Must have valid driver’s license with good driving record and be able to drive locally.
 

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