RN Care Manager

Penfield, NY 14526

Posted: 11/06/2023 Industry: Healthcare Professionals

Job Description

Job Description

In this full-time opportunity, you will be responsible for implementing an appropriate quality and cost-effective plan that utilizes all resources available to meet those needs of our clients. The Care Manager will assist the clients in reaching their optimum level of wellness, self-care management, and functional capabilities. We are seeking an individual with a minimum five years in healthcare related field, with 2 years as a Care Manager experience. Interested? Apply today!

Job Summary:

  • 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 timely manner
  • Review and authorize request for services according to workflows and time frame
  • Maintain clear, effective communication with member continually, including monthly calls
  • Educate members and caregivers on covered services and benefits
  • Evaluate member in his/her residence on an as needed basis
  • Promote healthy living and injury prevention for members
  • Evaluate available clinical data and notes, including assessments
  • Evaluate member’s response to interventions and makes modifications as necessary
  • Collaborate with interdisciplinary team
  • Document all interventions
  • Maintain member 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 the member and his/her support system
  • Participate in Quality Assurance and Improvement activities
  • On call responsibilities
  • Performs all other duties as assigned by supervisor
  • Full Time
  • Monday - Friday 8am - 5pm (can work remotely)

Job Requirements

  • NYS Licensed RN, Bachelor’s degree preferred OR Licensed Master’s Social Worker
  • Minimum five years in healthcare related field, with 2 years as a Care Manager in managed care environment or community health

Job Types: Full-time

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1.800.655.8803 585.295.8553 1777 Penfield Road Penfield, NY 14526