Job Description

RN Care Manager - Office Based 

JOB SUMMARY:

The Care Manager works within a multidisciplinary team to help identify and manage members who are in need of additional care or support in their home to improve their quality of life.  Through interventions such as complex case management and utilization management, the Care Manager will ensure coordination of health care services, member education, and preventative interventions.

 PRIMARY RESPONSIBILITIES:   

  • Provides case management through telephonic assessments, care planning, implementation, care coordination, monitoring and evaluation to ensure member receives services and supports required to meet psychosocial, educational and health care needs
  • Develops, facilitates, and communicates a plan of care in partnership with the member, his/her significant other, primary caregiver, the primary and attending physicians, and various other providers involved in the member’s care.
  • Initiates utilization review for preauthorization and post service reviews
  • Utilizes knowledge of community resources and the member’s benefit structure
  • Interacts with providers and facilities in a professional, respectful manner 
  • Recognizes quality of care issues and escalates the issues appropriately
  • Assists members with the coordination of services from various settings as appropriate
  • Complies with all CCSs standards for documentation
  • Participates in case rounds
  • Participates in on call coverage
  • Participates in other meetings as requested
  • Participates in quality improvement initiatives
  • Other duties as assigned

Required:

  • Graduate from accredited school of nursing
  • NYS RN License 
  • Excellent organizational skills
  • Excellent verbal and written communication skills
  • Proficient in the use of Microsoft office Suite tools

Salary Range:

  • $72K- $92K

Position Type/Expected Hours of Work

  • Full Time - Monday thru Friday

We offer Full Time Employees:

  • Health Benefits
  • Dental
  • Vision
  • 401K
  • Generous Paid Time Off
  • Voluntary Employee Benefit Programs
  • Employee Referral Award Program

Location:

  • Staten Island
REV

Application Instructions

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