Care Manager - ED (000087)
Duties:
The primary goal of the Care Manager is to optimize members health care and delivery of care experience with expected cost savings due to improved quality of care. This is accomplished through engagement and understanding of the members needs, environment, providers, support system and optimization of services available to them. Care Manager is expected to assess and evaluate members needs, be a creative, efficient, and resourceful problem solver. In collaboration with the members care team, a plan of care with individualized goals and interventions is developed, implemented and outcomes evaluated
Skills:
Five years minimum of clinical experience as a Registered Nurse. Leadership experience preferred. Experience with Care Coordination, Utilization review and discharge planning Computer literacy required.
Minimum 2 years prior experience in a health care setting, Care Management, or Managed Care setting required
Ability to proficiently read and interpret medical records, claims data, pharmacy, lab reports and prescriptions required
Ability to work closely with member and caregiver
1. RN Licensed as a Registered Nurse in the State of New York required.
2. Baccalaureate degree required.
3. PRI and Screen certification within three months of employment is required.
Masters Degree and Bilingual Spanish Certification in Case Management preferred.
Registered Nurse with current NYS license
Bachelors Degree required Skills:
Required
Healthcare Managementrn Licensemanaged Care Schedule Notes:
Work Schedule: Full time
Hours Per Week: 35
Days: Monday, Tuesday, Wednesday, Thursday, Friday
Shift time: 9am - 5pm
Work location: Hybrid
Patient Facing: No
Minimum education level: College
Language competencies: English
License/Registration required: Yes
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