Hybrid Registered Nurse (RN) Care Manager - Manhattan - MLTC
Core
Coordinate care for members across the health care continuum including in-home assessments, planning, advocacy, and authorization of services to promote quality, cost-effective outcomes.
Role type
Registered Nurse Care Manager
Builds
Patient-centered service plans and care coordination across hospital, sub-acute, long-term, and home settings
Domain
Healthcare / Long-term care / Geriatrics
Required skills
Registered Nurse licensure, care coordination, home assessment, interdisciplinary collaboration, grievance investigation, care management review, discharge planning, eligibility assessment, plan of care development
Preferred skills
Bachelor's degree in Nursing, geriatrics experience, managed long-term care experience, bilingual skills, Case Management Certification
Technologies
Microsoft Office (Outlook, Word, Excel)
Responsibilities
Assess and monitor members' health needs and status; authorize covered services; collaborate with families and primary care practitioners; perform home visits; develop Patient Centered Service Plans; manage grievances and adverse determinations; conduct care management reviews; document care coordination; ensure safe discharge plans.
Seniority
Mid-level, hands-on IC