Available Positions

RN Case Manager at Managed Long Term Care Organization in Lake Success, New York, United States —

  • Healthcare
  • Managed Long Term Care Organization
  • Lake Success, New York, United States
  • 10/17/20

Job ID: 35565

Job Description

Develop and update individualized care plan based on comprehensive assessment of members in consultation with the member and family/caregiver and the assessment nurse

Implement the care plan and authorizes/arranges for delivery of covered services consistent with the care plan

Conduct ongoing communication and collaboration with member, family caregiver, or member's designated representative, as well as with their PCP and other significant health care providers

Provide coordination of care transitions, including discharge and transition planning from hospital or nursing homes

Determine eligibility for quality initiatives including diabetes management program, falls prevention program, etc.

Facilitate establishment of Advance Care Planning and assure appropriate administration of their Health Care Proxy

Review medical status and issues, identifying follow up issues

Serve as primary contact with their PCP or specialist physicians

Monitor medication adherence

Conduct monthly outreach to member to check on their status

Participate in Quality Assurance and Improvement activities as directed by Director of Care Management

Work in conjunction with the medical social worker, and a service coordinator

Qualifications

NYS license and current registration as a registered nurse

Bengali, Cantonese/Mandarin, Spanish, or Russian fluency required

1+ year of experience in clinical practice, case management, care management or home care

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