Care Manager

4 days ago


Webster, Florida, United States Prime Care Coordination Full time

Care Manager Job Summary

Care Management is a collaborative process that includes assessing physical, social, and environmental factors that affect the lives of Prime Care Coordination members. The Care Manager implements an appropriate quality and cost-effective plan that utilizes all resources available to meet those needs.

The Care Manager utilizes evidence-based health strategies to prevent hospitalization and inappropriate utilization of emergency room visits. The process is cyclical in several phases: assessing, stratifying, planning, implementing/coordinating care, and reassessing/evaluating.

Responsibilities:

  • Oversee caseload of managed care members
  • Review and evaluate the member's assessment and UAS information
  • Develop comprehensive service plans
  • Make referrals to appropriate health and community resources in a timely manner
  • Review and authorize requests for services according to workflows and timeframes
  • Maintain clear, effective communication with members continually, including monthly calls
  • Educate members and caregivers on covered services and benefits
  • Evaluate members in their residences on an as-needed basis
  • Promote healthy living and injury prevention for members
  • Evaluate available clinical data and notes, including assessments
  • Evaluate members' responses to interventions and make modifications as necessary
  • Collaborate with interdisciplinary teams
  • Document all interventions
  • Maintain members' privacy, confidentiality, health, and safety
  • Adhere to ethical, legal, accreditation, certification, and regulatory standards and guidelines
  • Demonstrate cultural competence by being respectful of and responsive to the health beliefs, practices, cultural, and language needs of members and their support systems
  • Participate in Quality Assurance and Improvement activities
  • Be on call
  • Perform all other duties assigned by supervisors

Essential Academic and Experience Requirements:

  • New York State Licensed Registered Nurse, Bachelor's degree preferred, or Licensed Master's Social Worker
  • Minimum five years in a healthcare-related field, with two years as a Care Manager in a managed care environment or community health
  • Must be at least 18 years old
  • Reliable transportation (NYS Driver's License required)
  • Ability to work independently and motivate others
  • Ability to communicate effectively, both orally and in writing
  • Maintain all required certifications/training by State regulations and Prime Care Coordination policy
  • Bilingual a plus
  • High attention to detail
  • Experience utilizing computer software, including Microsoft Word and clinical applications

  • Nurse Case Manager

    5 days ago


    Webster, Florida, United States Prime Care Coordination Full time

    Job Summary:We are seeking a dedicated RN to work remotely from 8:00am-5:00pm, Monday-Friday, with no on-call responsibilities. As a Nurse Case Manager, you will be responsible for assessing applicants in the community for eligibility and enrollment in our Managed Long Term Care program.Key Responsibilities:Conduct home and/or nursing home visits to educate...


  • Webster, Florida, United States Care Team Solutions Full time

    Job Title: Travel Nurse RN Case Manager PositionCare Team Solutions is seeking a dedicated and experienced travel nurse RN case manager to join our team. This exciting opportunity is available in Webster, New York, and offers a chance to work with a dynamic and supportive team.Job Details:Specialty: Case ManagementDiscipline: RNStart Date: ASAPDuration: 13...

  • MDS Coordinator

    3 days ago


    Webster, Florida, United States Athena Health Care Systems Full time

    About the Role:Athena Health Care Systems is seeking a skilled MDS Coordinator to join our dynamic care team at Lanessa Extended Care in Webster. As a key member of our team, you will play a crucial role in assessing and documenting residents' needs, developing care plans, and ensuring compliance with regulations.Key Responsibilities:Coordination of MDS...


  • Webster, Florida, United States Quality Talent Group Full time

    About the JobAt Quality Talent Group, we are actively seeking a skilled Licensed Practical Nurse to join our team at Ontario Center for Rehabilitation and Healthcare in Canandaigua, NY. As a Licensed Practical Nurse Care Manager, you will play a vital role in providing high-quality care to our residents.Responsibilities: Record health details of residents,...


  • Webster, Florida, United States PRIDE Health Full time

    Profession:As a Respiratory Care Specialist with PRIDE Health, you will be responsible for providing high-quality patient care in a hospital setting. Your expertise in respiratory therapy will be essential in helping patients recover from respiratory-related illnesses.Specialty:Respiratory therapy is a critical aspect of healthcare, and as a specialist in...


  • Webster, Florida, United States Discovery Village Clear Lake Full time

    At Discovery Village Clear Lake, a thriving senior living community, we have meaningful job opportunities with the ability to make a difference in the lives of our residents.Our community is looking for a Care/Medication Technician to join our team.Responsibilities:* Provide hands-on care, physical and emotional support to each resident while maintaining a...


  • Webster, Florida, United States Lanessa Extended Care Full time

    We are seeking a highly skilled and detail-oriented Housekeeping Assistant to join our dynamic care team at Lanessa Extended Care in Webster. As a key member of our housekeeping team, you will be responsible for ensuring that our facility is maintained in a clean, safe, and comfortable manner.Key Responsibilities:Ensure residents' rooms are neat, clean and...


  • Webster, Florida, United States University of Texas Medical Branch Full time

    Job Summary:To provide technical assistance and supportive patient care to meet the needs of individual patients throughout assigned areas and serve as a leader/ mentor for the assigned unit(s).Key Responsibilities:Collects, reports, and documents data related to patient needs/emergencies and unusual patient and family behavior.Provides for patients'...


  • Webster, Florida, United States Simply Dental Management Full time

    At Simply Dental Management, we are seeking a skilled Dental Assistant to join our team. As a key member of our dental care team, you will be responsible for providing exceptional patient care and support to our dentists and hygienists.Responsibilities:Provide excellent customer service and maintain a positive attitudeAssist patients with questions or...


  • Webster, Florida, United States UTMB Health Full time

    Job Summary:To provide technical assistance and supportive patient care to meet the needs of individual patients throughout assigned areas and serve as a leader/mentor for the assigned unit(s).Responsibilities:Collects, reports, and documents data.Takes vital signs, height and weight, intake and output, pulse oximetry, and collects specimens.Obtains blood...


  • Webster, Florida, United States Athena Health Care Systems Full time

    We are seeking a skilled MDS Coordinator to join our team at Athena Health Care Systems. As a key member of our care team, you will play a vital role in assessing and documenting residents' needs, developing care plans, and ensuring compliance with regulations.Responsibilities:Coordination of MDS processOversees ADL training for facility and staffIssues and...


  • Webster, Florida, United States Interim Healthcare - Houston Full time

    Home Health Registered Nurse (RN) Case Manager OpportunityInterim Healthcare, a leading provider of home care, is seeking a skilled RN Case Manager to join their team in the Galveston area. As a Home Health Registered Nurse, you will play a vital role in managing patient care episodes from admission to discharge.Responsibilities:Supervise and manage patient...


  • Webster, Florida, United States Fresenius Medical Care Holdings, Inc. Full time

    Purpose and ScopeAs a member of the hemodialysis healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a registered nurse in accordance with Fresenius Kidney Care policies, procedures, and training, and in compliance with regulations set forth by the corporation, state, and federal agencies.Key...


  • Webster, Florida, United States Aveanna Full time

    Job DetailsRequisition #: 194153Job Title: Occupational Therapist PRN for Home Health CareLocation: Webster, FLCategory: NursingSalary: $40.00 - $50.00 per hourPosition OverviewWe are seeking an Occupational Therapist (OT) to provide home health care services. The successful candidate will assess, teach, and deliver therapy interventions and treatment...


  • Webster, Florida, United States University of Texas Medical Branch Full time

    Job Summary:As a skilled and experienced Nurse Clinician III, you will provide high-quality patient care in an outpatient setting. With a strong foundation in nursing practice and a passion for delivering exceptional care, you will work collaboratively with the interdisciplinary team to achieve optimal patient outcomes. Your expertise in clinical...


  • Webster, Florida, United States Universal Healthcare Resources Full time

    Position: We are seeking a skilled Respiratory Therapist to join our team in Webster, TX. As an RRT, you will be responsible for monitoring patient physiological responses to therapy, consulting with physicians, and working as part of a team to manage patient care. Responsibilities include:Monitoring patient physiological responses to therapy such as...


  • Webster, Florida, United States The GI Alliance Management LLC Company Full time

    At The GI Alliance Management LLC Company, we are seeking a highly skilled Inpatient Physician Assistant to join our team in Gastroenterology. As a member of our team, you will have the opportunity to work with a dynamic and supportive group of healthcare professionals who are dedicated to providing exceptional patient care.Job Summary:The Inpatient...


  • Webster, Florida, United States UTMB Health Full time

    Pediatric Nurse Clinician RoleWe are seeking a skilled Pediatric Nurse Clinician to join our team at UTMB Health. As a key member of our interdisciplinary team, you will provide high-quality patient care and contribute to the development of our nursing practice.Key Responsibilities:Assess, plan, implement, and evaluate patient care to ensure optimal...


  • Webster, Florida, United States University of Texas Medical Branch Full time

    Job Summary:As a skilled Clinician, you will possess the knowledge and expertise to provide high-quality patient care. With a strong background in nursing and a minimum of two years of clinical experience, you will be able to competently function as a member of the interdisciplinary team. Your proficiency in problem-solving and decision-making will enable...

  • Nurse Clinician III

    5 days ago


    Webster, Florida, United States University of Texas Medical Branch Full time

    Job Summary:As a Nurse Clinician III at the University of Texas Medical Branch, you will play a vital role in delivering high-quality patient care. This position requires a competent clinician with knowledge and skills to meet standards for professional nursing practice as specified in the Texas Nurse Practice Act. You will work collaboratively with the...