Nurse Care Manager responsible for in-home assessment and care coordination for health plan members. Collaborating with families and healthcare providers for quality and cost-effective outcomes.
Responsibilities
Provide care coordination including in-home assessment and planning
Facilitate advocacy and authorization of covered plan services
Collaborate and communicate with members, families, caregivers, and healthcare teams
Perform home visits to assess living situations and needs
Develop Patient Centered Service Plan for the member
Document care management according to company policy
Identify and present members with complex care management needs
Requirements
Associates degree in Nursing from an accredited nursing program required
Bachelor's degree in Nursing preferred
Three (3) years of experience as a registered nurse required
Clinical experience in geriatrics and/or managed long-term care experience preferred
Intermediate proficiency level with Microsoft Office, including Outlook, Word, and Excel
Ability to communicate effectively with a diverse group of individuals
Bilingual speaking and writing skills are preferred.
Benefits
Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development
Bonus tied to company and individual performance
Comprehensive total rewards package
Job title
Registered Nurse (RN) Care Manager – Bronx/Westchester
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