CareSource mission
Hybrid Registered Nurse (RN) Care Manager - Brooklyn
Brooklyn, NY
Sponsorship not specified$100k-$135kDetected 22 days ago
ExcelResearchProblem SolvingTime ManagementWritingMicrosoft Office
About the role
- The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes.
- Ensures consistent care along the entire health care continuum by assessing and closely monitoring members' needs and status.
- Authorizes covered services and coordinates care regardless of payer.
Responsibilities
- Works with member/family to maintain the most independent living situation possible
- Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member.
- Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM).
- Develop Self and Others
- Drive Execution
- We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
- Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team.
- Identifies same day grievances, investigates and documents accordingly.
- Documents any grievance according to plan policy.
Requirements
- may be required to sit or stand for extended periods of time
- Performs home visits as required to assess members' living situation, cultural influences, functional and cognitive needs.
Nice to have
- 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
- Experience using multiple languages may be required based on operational needs
- Current, unrestricted Registered Nurse licensure in the state of New York required
- Case Management Certification preferred
Skills
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
- Ability to communicate effectively with a diverse group of individuals
- Ability to multi-task and work independently within a team environment
- Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
- Adhere to code of ethics that aligns with professional practice
- Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
- Strong advocate for members at all levels of care
- Strong understanding and sensitivity of all cultures and demographic diversity
- Ability to interpret and implement current research findings
- Awareness of community & state support resources
- Critical listening and thinking skills
- Decision making and problem-solving skills
Compensation
- $100,000 - $135,000
- CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
- In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
- Compensation Type (hourly/salary):
Company info
- Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes.
Equal opportunity
- CareSource is an Equal Opportunity Employer.
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This listing is sourced directly from CareSource mission's careers page and normalized into a canonical job model.