Nurse Case Manager
2 weeks ago
VNS Health is seeking a skilled Registered Nurse to join our team as a Case Manager. As a key member of our care coordination team, you will play a vital role in ensuring our patients receive the highest quality care and support.
About the Role:- Coordinates and oversees the coordination of benefits and services for patients on your caseload.
- Completes care management and disease-specific assessments to identify patient needs and develop personalized care plans.
- Makes timely telephonic care management calls to patients based on risk level and assesses their needs and concerns.
- Resolves and coordinates complex issues and patient complaints impacting the delivery of services.
- Provides health education to patients and their caregivers to empower them to manage their health effectively.
- Assesses social determinants of health and provides care coordination to reduce or remove barriers to care.
- Identifies patient safety issues and intervenes as necessary or refers to appropriate resources.
- Coordinates the delivery of high-quality, cost-effective care based on a customized population model of care supported by evidence-based clinical practice guidelines.
- Advocates for patients and their caregivers to obtain the healthcare and other services needed to optimize their quality of life.
- Utilizes the care management process to set priorities, plan, organize, and implement interventions that are goal-directed towards self-care outcomes and the transition to independent status.
- Promotes adherence to the physician treatment plan by providing education, coaching, and support.
- Educates, coordinates, and provides resources to reduce inappropriate utilization of emergency room and hospital services.
- Increases utilization of primary care, specialty care, preventive health, and guideline-based treatments within the network, as appropriate.
- Participates in interdisciplinary team meetings and provides input on customer service-related activities.
- Protects the confidentiality of patient information and adheres to company policies regarding confidentiality.
- Ensures compliance with payor policies and procedures as well as all Federal and State regulations.
- Interprets and implements VNS Health policies, state, and federal regulations.
- Associated degree in nursing or a bachelor's degree in physical therapy required.
- Minimum two years of experience as a registered nurse.
- License and current registration to practice as a Registered Professional Nurse or Physical Therapist or Occupational Therapist in the State of New York required.
- Population Care Coordination Certification preferred.
- Care Management, Case Management, OASIS, or other application certification preferred.
VNS Health is one of the nation's largest nonprofit home and community-based healthcare organizations. We innovate in healthcare for over 125 years, driven by our commitment to health and well-being. We help people live, age, and heal where they feel most comfortable, in their own homes, connected to their family and community.
On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise, and 24/7 solutions and resources to the more than 43,000 neighbors who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of healthcare services, solutions, and health plans designed to simplify the healthcare experience and meet the diverse and complex needs of those we serve in New York and beyond.
Benefits:- Guaranteed hours.
- 401(k) retirement plan.
- Employee assistance programs.
- Dental benefits.
- Vision benefits.
- License and certification reimbursement.
- Life insurance.
- Discount program.
- Holiday pay.
- Continuing education.
- Wellness and fitness programs.
- Mileage reimbursement.
- Medical benefits.
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