Case Manager III
4 weeks ago
Summary:
- Works with members, providers, and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.
- Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
- Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member's needs and goals.
- Maintains ongoing member case load for regular outreach and management.
- Assesses barriers to care, provides care coordination and assistance to member to address concerns.
Required Education | Experience:
- Bachelor's degree in Nursing or Master's degree in Social Work.
- 5-7 years in case management, disease management, managed care or medical or behavioral health settings.
- Bilingual in English/Spanish
- Active, unrestricted State Registered LicensedRN/LMSW/LCSW- Licensed in the State of NYin good standing.
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New York, United States Tandym Group Full timeA New York City-based private organization is looking to fill an immediate need on their Queens-based team with the addition of a new Case Manager III. Under the direction of the Supervisor, the Case Manager III will be responsible for providing case management services, assessment and intake of participants to determine eligibility for services.About the...
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