Title: Senior Care Manager-RN
Location: Brooklyn, NY 11201
Duration: 3+ Months (Temp To Hire)
Hours: 09:00 AM to 05:00 PM.
Note: - MLTC, UAS assessment experience.
Description:
Responsible for the assessment, reassessment, care planning and coordination of care and services. Includes ongoing monitoring of an appropriate and effective person centered care plan, member education and care management. Regularly communicates with the members PCP and other providers, and integrates the member, caregiver and other provider feedback into the assessment and planning. Will be expected to coach and mentor less experienced Care Managers.
Requirements/Certifications:
- The candidate WILL HAVE at least have 2-3 years of clinical experience with a focus on MLTC, UAS assessment experience, Major Medical and Surgical diagnosis experience and experience with electronic documenting systems.
- Experience with community resources, Behavioral health experience and bi-lingual (Spanish, Russian and or Chinese) are pluses. He/she MUST be comfortable in a fast pace environment and be managing multiple priorities.
Interview:
- The candidate will interview in-person with 2 clinical managers (1 interview with 2 managers).
- Clinical experience with a focus on MLTC, UAS assessment experience, Major Medical and Surgical diagnosis experience and experience with electronic documenting systems.
ESSENTIAL FUNCTIONS:
- Ensures continuity of care for newly enrolled members. Identifies and prioritizes the member’s needs and preferences. Develops quantifiable goals and desired outcomes, and promotes the members ability to self-manage to the greatest extent possible.
- Develops, implements and monitors the Person Centered Service Plan, assisting members in obtaining reasonable accommodations when appropriate. Manages case load, including risk stratification of members, monitoring reassessment needs and facilitating transitions of care settings.
- Serves as the primary point of member contact. Assesses member needs, manages care and services, and ensures effective communication among members, caregivers, providers and community supports.
- As the leader of the interdisciplinary team facilitates the activities and communication within an interdisciplinary team of providers, vendors, facilities, discharge planners, field nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings.
- Maintains timely, complete and accurate documentation using both hard copy and technology based solutions in compliance with regulatory policies and procedures. Gathers and summarizes data for reports. Supports initiatives of the Quality Assessment and Performance Improvement Committee. All other duties as assigned.
Additional Info:
- The selected candidate will manage about 120 members where the goal is to keep the member in the community by coordinating and managing the community-based resources that have been provided.
- This is a telephonic position with both inbound and outbound calls. The hours of operation are 9 am – 5 pm.
- The training will be about 2 weeks long that includes systems and expectations in the role. There is side-by side training and there is a buddy system set up for new Resources.
