RN Care Manager

Penfield, NY 14526

Posted: 03/18/2024 Industry: Healthcare Professionals

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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About Penfield, NY

Discover your next career opportunity in beautiful Penfield, New York! Nestled in the heart of Monroe County, Penfield offers a perfect blend of small-town charm and big-city amenities. With easy access to stunning parks like Ellison Park and the historic Harris Whalen Park, residents enjoy a vibrant outdoor lifestyle. From sampling the famous Garbage Plate at Nick Tahou Hots to exploring local art at the Main Street Arts gallery, Penfield boasts a rich cultural scene. Join us in this thriving community, abundant with growth opportunities and unique experiences. Browse our job listings today and take the next step towards your dream career in Penfield!
1.800.655.8803 585.295.8553 1777 Penfield Road Penfield, NY 14526