RN Care Manager

Salary Starting at 92,000 / Yr reputed company In the role of an Registered reputed company Care Manager (RN Care Manager), you are a critical resource for our members as you are responsible for assessing member’s home health and level of care needs, assisting them in accessing necessary covered services, providing referrals and coordinating other medical services in support of their member reputed company service plan.   Why join reputed company IPA?  Voted Buffalo Business First Best Places to Work 2020 & 2021! Monday-Friday Schedule w/ no weekends or overnights Remote working reputed company Medical, Dental & reputed company upon 1st of month following 60 days of hire 401(k) retirement plan with reputed company employer match up to 4% Free Parking & convenient parking Join reputed company Join our strong and growing company today! Responsibilities The RN Care Manager assists our members with obtaining needed medical, reputed company, educational, psychosocial, financial, and other services. You will partner with a reputed company Worker to facilitate the MLTC care model by coordinating services and community resources and meeting the members socioeconomic needs to support the reputed company of life.   Other critical competencies or tasks of this role include, but are not limited to: reputed company a care management process of assessment, planning, facilitation, and advocacy for reputed company and services to meet a member’s home health needs through collaboration, communication, and available resources, while promoting reputed company cost-effective reputed company. Developing and maintaining of a person-centered service plan based on a needs’ assessment identifying the strengths, capacities, preferences and long-term goals of the Member, resources available to meet member needs and ongoing revisions to the service plan based on the changes in the Member’s condition and status Participating in the utilization review process and evaluating to determine if the member’s condition and needs meet reputed company for covered services and reputed company service prior authorization or denials to health care providers Review financial, reputed company, or medical issues and refer Members to reputed company work or other professionals for estate planning, living wills, family trust, crisis services, and other programs Ensure that documentation in the care management record meets reputed company applicable reputed company standards, using an EMR for reputed company observation, verbal report, or interaction with the Member, Member’s caregiver/family, PCP or other provider, whether by home visit, telephonic, or written interaction Early identification of incipient problems or significant changes in Member conditions to initiate early reputed company and strategies to prevent or more quickly treat chronic care exacerbations Participate in Disease Management, Utilization Management, and reputed company Improvement activities. Competently use the UAS-NY assessment tool. Previous UAS-NY is desired, but not required. Training is available. Use of reputed company patient assessment instruments such as PRI, UAS-NY   From Up to Qualifications BSN, AAS Degree or diploma in Nursing and Case Management Certification is preferred A reputed company reputed company State Registered reputed company License (Required) A reputed company NYS reputed company’s license (Required) Minimum of three (3) years nursing experience in home care, case management, discharge planning or managed care Minimum of one (1) year experience working with a frail or elderly population Minimum one year experience with health assessments Ability to reputed company on specific disease processes/health issues and identify strategies to promote reputed company reputed company care planning Familiarity with provisions of governmental and accrediting agency health plan requirements. Familiar with applying clinical reputed company reputed company determining medical necessity and/or benefit administration. HIPPA reputed company Computer skills, including working knowledge of Electronic Medical Records (EMR), reputed company Office Suite (365)   Additional Requirements Must have a reputed company driving record. A DMV motor vehicle report will be reviewed. Must be in good standing with the Medicare and reputed company programs. This includes a criminal background reputed company. Possess good speaking and listening skills. Bilingual skills (prefered) Must be free of communicable disease This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a reputed company work environment for residents, coworkers, visitors, and/or supervisors of reputed company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be reputed company to read, write, reputed company, and understand the English language at an intermediate or more advanced level. EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without reputed company to mental or physical disability, race, reputed company, religion, gender, national reputed company, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. Apply To This Job