Belong Health

RN Care Manager (DSNP)

New York

Sponsorship not specified$80k-$95kDetected 43 days ago

Customer SupportCommunication

About the role

We believe that only by recognizing individuals can we make communities strong.
SUPERVISORY RESPONSIBILITIES This role does not have supervisory responsibilities.
Equivalent education and experience may be considered.

Responsibilities

Develop and implement an individual care plan (ICP).
Lead interdisciplinary care team meetings.
Collaborate with provider, social workers, discharge planners, and community-based service providers to coordinate care and achieve care plan goals.
Support transitions of care activities including post-discharge outreach, medication reconciliation support and coordination with providers and caregivers.
Document all care management activities in the appropriate system in accordance with internal and established documentation procedures.
We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products.

Requirements

Working knowledge of Medicare and Medicaid programs and experience with regulatory requirements and reporting.
Experience supporting Medicare, Medicare Advantage, Medicaid, Dual Eligible Special Needs Plans (DNP), or other complex populations.
Experience delivering care management services in a telephonic and/or virtual environment.
Knowledge of care coordination, transitions of care, motivational interviewing, and person-centered care planning principles.
Experience participating in cross departmental projects and policy and procedure changes, including coordination of activities and initiatives across departments.
Excellent customer service, active listening, issue assessment, trend identification, and analytical skills, with a demonstrated ability to problem solve effectively and efficiently.
Demonstrated experience in a managed care, Medicare Advantage, DSNP, or value-based care environment.
Knowledge of community services and resources supporting older adults, individuals with disabilities, and underserved populations
Graduate of an accredited nursing program required.
Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required.
Proficient in navigating multiple systems; demonstrated PC skills using Microsoft applications.
Two (2) or more years' experience in a health plan, health care organization, Community Based Organization, or social services environment.
Understanding of needs and dynamics of elder care services, disadvantaged, disengaged populations.
Commitment to high ethical standards in all work; protects the privacy of member and company data and exercises discretion in handling confidential member information.
Excellent oral and written communication skills, including presentation skills.
Strong organizational and follow-through skills.
Demonstrated ability to manage a caseload of medically and socially complex members.
Ability to work independently and effectively within a fully remote and highly collaborative team environment.

Nice to have

Care Management Certification preferred (CCM, ACM, CMGT-BC, or equivalent).
Bi-lingual Spanish speaking preferred
Bachelor of Science in Nursing (BSN) preferred.
Care Management Certification preferred.

Compensation

$80,000-$95,000

Benefits

Belong Health.
Identify members requiring intensive care management interventions and coordinate appropriate clinical, behavioral health and community-based services.
Utilize population health, risk stratification and care management technology platforms to prioritize outreach and interventions.
Complete health risk assessments, reassessments, and other clinical evaluations in accordance with program requirements.

Equal opportunity

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

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This listing is sourced directly from Belong Health's careers page and normalized into a canonical job model.