High Risk Care Coordinator
5 days ago
Amida Care, the largest Medicaid HIV Special Needs Plan in NY, delivers a uniquely effective care model that has become a true benchmark for innovation, engagement and member health outcomes. Our mission is to provide access to comprehensive care and coordinated services that facilitate positive health outcomes and general well-being for our members. This true integrative care model addresses psychosocial, housing, behavioral and medical services directly evolving around the needs of each member.
We are a community of individuals from diverse peoples who work together to actively foster a fair, equitable, inclusive environment where all employees receive an invitation to belong. Visit www.amidacareny.org for more information about the Amida Care culture.
We are actively seeking a highly motivated, innovative and experienced leader to join our team as the High Risk Care Coordinator. Compensation will be commensurate with experience.
Position Summary:
This position serves as an integral part of the member's assigned Integrated Care Team (ICT) and is responsible for intensive care management of high risk members, care management of services related to the delivery of medical benefits that ensure members' complex medical, behavioral, pharmaceutical and psychosocial needs are met within the established benefit policies and guidelines for the treatment and evaluation of members of a specialized needs plan. The High Risk Care Coordinator must have strong critical thinking skills to provide clinical oversight to the team and to clinical case reviews.
Responsibilities:
- Provide a single point of coordination/accountability in managing the care of a cohort of members designated as high-risk.
- Develop person centered care plans, based on comprehensive needs assessment; then coordinate appropriate services to meet the identified goals.
- Review and synthesize data across multiple platforms to inform the care plan.
- Collaborate with the member's treatment providers and community agencies in assessment, planning, implementing the member's care plan.
- Complete necessary documentation for logging transactions related to care plan activity.
- Contact the Medical Team and/or Discharge Planning staff for members admitted to an inpatient setting (e.g. hospital unit) to improve health outcomes, including reducing the likelihood of readmission.
- Coordinate member access to other services such as home health care, Medical Home, durable medical equipment, hospice care, pharmaceutical, vision, transportation and family planning.
- Offer member education on topics such as, but not limited to, Plan benefits, authorization processes, cancer screenings/prevention and health promotion.
- Ensure timely and accurate flow of information internally as well as with external entities, i.e. provider staff, case managers.
- Provide direction and support to other staff regarding timely collection of data, outreach efforts to providers and/or members and documentation of these activities and their outcomes.
- Periodically present cases to supervisor and/or at internal rounds.
- Promptly review and address any crisis situations that arise for any member with supervisory staff, and other entities as required.
- Identify and advocate for structural and process changes needed at Program sites, the Plan, or In-Network Providers to improve quality of care and services to members.
- Ensure member confidentiality and adhere to Confidentiality and Health Insurance Portability and Accountability Act (HIPAA) policies and regulations.
- Perform other duties as assigned.
Amida Care is Diversity, Equity and Inclusion employer committed to full inclusion and elimination of discrimination in all its forms. We strive to develop, promote and sustain a culture that values equity and leverages diversity and inclusiveness in all that we do.
EDUCATION REQUIRED
- NYS Licensed Practical Nurse
EXPERIENCES AND/OR SKILLS REQUIRED
- Either three (3) years managed care experience in a similar role or a combination of work experience in clinical setting and managed care setting; five years preferred.
- Experience working with people living with HIV/AIDS or serious chronic illness, preferred.
- Healthcare and staff leadership experience, preferred.
- Strong knowledge of Microsoft Office (Outlook, Teams, Word and Excel).
- Willingness to learn other platforms as needed for work responsibilities.
- Demonstrate understanding and sensitivity to multi-cultural values, beliefs, and attitudes of both internal and external contacts.
- Demonstrate appropriate behaviors in accordance with the organization's vision, mission, and values.
-
Nurse Practitioner for High-Risk Postpartum Care
2 weeks ago
New York, New York, United States LanceSoft Full timeLanceSoft is seeking an experienced Nurse Practitioner to join our team in providing high-risk postpartum care at Weill Cornell Medical Center in New York. As a valued member of our healthcare team, you will have the opportunity to work with patients who require specialized attention during the postpartum period.Job Summary:We are looking for a skilled and...
-
New York, New York, United States OneStaff Medical Full timeJob Description:OneStaff Medical is seeking a skilled nurse to provide critical care to high-risk newborns in the neonatal intensive care unit (NICU).Job Summary:We are looking for a dedicated and compassionate nurse to join our team as a travel nurse RN NICU - Neonatal Intensive Care. As a critical care nurse specialist, you will be responsible for...
-
New York, New York, United States NYC Health Hospitals Full timeNYC Health + Hospitals: A Leader in Public HealthcareAs the largest public healthcare system in the nation, NYC Health + Hospitals provides essential services to 1.4 million New Yorkers every year. With a diverse workforce of over 42,000 employees, we are committed to empowering our communities to live healthy lives.About the RoleWe are seeking a skilled...
-
High Risk Obstetrical Ultrasound Specialist
1 week ago
New York, New York, United States Talent4Health Full timeA career opportunity exists for a highly skilled High Risk Obstetrical Ultrasound Specialist to join our esteemed team of medical professionals at Talent4Health in New York, NY.About the Job:We are seeking an experienced Ultrasound Technologist with a strong background in high-risk obstetrics to fill this critical role. As a key member of our team, you will...
-
High-Risk Obstetric Registered Nurse
1 month ago
New York, United States NavitsPartners Full timeHigh-Risk Obstetric Registered Nurse (High-Risk OB RN) Job Description: Specialize in the care of pregnant women with high-risk pregnancies, monitoring for complications and providing specialized interventions. Credentials: Current RN license in New York State BLS, ACLS, and NRP certifications Minimum of 3 years of High-Risk OB nursing...
-
OB High Risk Ultrasound Technologist
5 days ago
New York, United States Soloh Partners Inc Full timePosition: OB High Risk Ultrasound Technologist Location: New York, NY Pay Rate: $74/hr Schedule: 8:30 AM-4:30 PM Skills: 1 year High risk obstetrical Ultrasound experience. - Registered as a Diagnostic Medical Sonographer (RDMS) by American Radiologic Diagnostic Medical Sonography (ARDMS) required. - BLS preferred. - At least 1 year High risk obstetrical...
-
OB High Risk Ultrasound Technologist
7 days ago
New York, United States NYC Health + Hospitals Harlem Full timeDetailsClient Name NYC Health + Hospitals / Harlem Job Type Travel Offering Allied Profession Radiology Specialty Sonographer/Ultrasound Tech Job ID 29683073 Job Title OB High Risk Ultrasound Technologist (000548) Weekly Pay $3276.0 Shift DetailsShift Day - 8x5 - 09AM Scheduled Hours 40 Job Order DetailsStart Date 12/09/2024 End Date 03/09/2025 Duration 13...
-
High Performance Business Risk Manager
4 days ago
New York, New York, United States Citigroup Inc Full timeThe role of the High Performance Business Risk Manager at Citigroup Inc involves driving controls testing performance and improvement initiatives. Reporting to the Wealth Client Segments Control Testing Head, this position is an execution-oriented individual contributor accountable for driving controls testing results and advice regarding the controls...
-
New York, New York, United States Talent4Health Full timeJob OpportunityTalent4Health is seeking a highly skilled Medical Sonography Specialist to work in New York, performing high-risk obstetric ultrasound procedures.About the JobType: TravelDuration: 13 weeksShift: 8 hours, daysAs a Medical Sonography Specialist, you will be responsible for independently performing ultrasound examinations, with a focus on...
-
Care Coordinator
4 months ago
New York, United States Village Care Full timeCare CoordinatorVillageCareMAX112 Charles Street, New York, NY 10014VillageCareMAX is looking for a motivated individual for this Full-Time role to provide assistance to care managers and members in coordinating services and requests. The Care Coordinator will work to authorize services based on plan of care and ensure that services are initiated and...
-
New York, New York, United States Department Of The Treasury Full timeJob DescriptionAs a highly skilled Asset Management Lead, you will serve as an expert advisor to the Examiner-in-Charge and other OCC officials on asset management activities involving complex issues and high risk(s) to the bank and national banking system.Key ResponsibilitiesOversight of significant asset management activities involving exceptionally...
-
OB High Risk Ultrasound Technologist
7 days ago
New York, United States Becker Health Full timeThis is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable]. Pay range: *** hrly -*** hrly...
-
Risk Management Coordination Team Lead
1 month ago
New York, United States SMBC Group Full timeThe anticipated salary range for this role is between $176,000.00 and $225,000.00. The specific salary offered to an applicant will be based on their individual qualifications, experiences, and an analysis of the current compensation paid in their geography and the market for similar roles at the time of hire. The role may also be eligible for an annual...
-
OB High Risk Ultrasound Technologist
2 months ago
New York, United States Mindlance Full timeDuties: This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable]. Skills: 1 year High...
-
OB High Risk Ultrasound Technologist
7 days ago
New York, United States Mitchell Martin Full timeA well known Medical Center located in New York has an immediate need for a Ultrasound Technologist Type: Contract Schedule: 8:30 AM-4:30 PM Location: New York Requirements: Registered as a Diagnostic Medical Sonographer (RDMS) by American Radiologic Diagnostic Medical Sonography (ARDMS) required BLS preferred 1 year High risk obstetrical Ultrasound...
-
Healthcare Leader for High-Risk Patient Care
1 week ago
New York, New York, United States NYC Health + Hospitals Full timeJob SummaryWe are seeking a skilled and compassionate Staff Nurse to join our team at the Outposted Therapeutic Housing Units (OTxHU) in New York City. As a key member of our healthcare team, you will provide high-quality patient care, education, and support to patients with complex health conditions.About NYC Health + HospitalsNYC Health + Hospitals is a...
-
New York, New York, United States Lambent Full timeCare Coordinator Opportunity:Lambent is seeking a compassionate and detail-oriented Care Coordinator to support a high-functioning ALS patient. The ideal candidate will have experience managing complex care plans, communicating effectively with healthcare professionals, and prioritizing responsibilities.Responsibilities:Develop and implement a personalized...
-
High Risk OB Nurse Specialist
1 week ago
New Brunswick, New Jersey, United States Saint Peter's Healthcare System Full timeJob Title: High Risk OB Nurse SpecialistAbout the Role:This is a challenging and rewarding opportunity for an experienced Registered Nurse to join our High Risk Obstetrics team at Saint Peter's Healthcare System.We are seeking a compassionate and skilled nurse to provide high-quality patient care in a fast-paced environment. As a High Risk OB Nurse...
-
Chief Risk Officer
7 days ago
New York, New York, United States Selby Jennings Full timeA leading American Investment Bank in New York City seeks a seasoned Chief Risk Officer to join their Wealth Management Division. Reporting directly to the CRO, this individual will be responsible for developing and enhancing the risk framework and capabilities for the Wealth Management business.This strategic hire will oversee the organization and...
-
High-Risk Obstetrician Specialist
1 week ago
New Orleans, Louisiana, United States Ochsner Health System Full timeWe are seeking a highly skilled Maternal Fetal Medicine Physician to join our team at Ochsner Health System. Our integrated healthcare system is committed to delivering exceptional patient care and providing a supportive work environment for our employees.Ochsner Health System is an Equal Employment Opportunity employer and welcomes applications from diverse...
