Care Manager V

Careerbuilder US
US - Georgia - Atlanta
July 1, 2024

Job Title: Care Manager V

Location: Remote + Field Visits, NY

Duration: 6 Months+ (Possible Extension)

Pay range: $56.38/hr. on W2

Position Summary:
• Schedule will be M-F 8:30AM-5PM.
• Borough: 2. Bronx/ Westchester/ Manhattan temps will visit members in their homes, assisted living facilities and nursing homes.
• Daily responsibilities will be conducting UAS Assessments to support care management. Candidates will be assigned a minimum of 15 cases per week.
• Orientation: Orientation will be 5 days for current UAS certified RNs
• Lang: Bilingual - PLEASE INDICATE ON RESUME WHICH LANGUAGES THE CANDIDATE SPEAKS

Required Experience:
• Management will accept ONLY: UAS Certified RN licensed in the state of NY
• New grads will be considered.
• Candidates with no UAS will be considered if they have experience with home care management.

Required Education:
• Bachelor's Degree or Health Education (a combination of experience and education will be considered in lieu of degree).

Required Licensure/Certification:

NY State RN License.

Essential Functions/Responsibilities:
• Conduct face to face assessments of members' functional status, medical, behavioral, psychosocial and community resource needs.
• Provides the Interdisciplinary Care Team (ICT) with assessment information and acts as facilitator to ensure that members' needs are met.
• Develop an ICP/PCSP based on members' clinical, behavioral and social needs that addresses barriers to care.
• Competently assesses members' health status and ensures that member is receiving all necessary medical and supportive services
• Modify ICP/PCSP as appropriate to member's needs and progress
• Manage care transitions through effective and timely communication necessary for member care and discharge planning.
• Clarifies SWH plan medical benefits, policies and procedures for members, providers and community-based agencies.
• Prepare for and participate in clinical case reviews to share best practices.
• Adhere to SWH documentation policies and procedures including documentation of clinical assessment activities and their effectiveness.
• Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population
• Collaborate with other SWH Care Managers to reduce variations in clinical practice, identify opportunities for systems' improvement, and develop policies and procedures relevant to practice.
• Provide backup to other Assessment nurses as needed
• Analyze data and use it to improve care delivery
• Performs other duties as assigned.

Skills/Aptitudes:
• Strong professional level of knowledge and comprehensive clinical assessment skills in the adult population and chronic disease management
• Excellent communication skills
• Strong computer skills: competent in Microsoft Office Products (Outlook, Word, Excel)
• Ability to work independently and maintain flexibly in fast paced environment
• Ability to analyze data and use it to improve care delivery
• Self-starter with high level of accountability and responsibility for outcome of care
• Highly organized and able to manage multiple priorities appropriately
• Independent problem-solving skills
• Able to work collaboratively and build enduring relationships with providers, members and the multidisciplinary team

Read the full job description and apply online on the recuiter's web-site

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