Hybrid Nurse Care Manager - Queens
Core
Coordinate care for members across the healthcare continuum (hospital, sub-acute, long-term, home) including in-home assessments, planning, advocacy, and authorization of services.
Role type
Senior Registered Nurse Care Manager
Builds
Patient-centered service plans and care coordination for health plan members
Domain
Healthcare / Managed Long-Term Care
Required skills
Registered Nurse licensure, care coordination, home assessment, interdisciplinary collaboration, grievance investigation, discharge planning, eligibility assessment, care management review, 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
Perform home visits to assess living situations and needs; authorize covered services and coordinate care regardless of payer; collaborate with primary care practitioners and IDT to develop service plans; identify and present complex care needs at Intensive Care Management meetings; document care management and recertification notes; ensure safe discharge plans; investigate and document grievances.
Seniority
Senior, hands-on IC