Case Manager MLTC

Responsibilities:  

• Provide telephonic assessments of members’ medical, psychosocial, physical and spiritual needs.
• Develops, implements, and monitors person centered service plan, and ensures continuity of care across all healthcare settings by collaborating with the interdisciplinary care team, PCP, member/member’s representatives, and specialists.
• Utilizes benefit structure and community-based resources to meet member’s needs.
• Educates members on disease processes, preventative health, and quality of life interventions.
• Responds to changes in member’s condition/sentinel events (i.e. level of care changes, changes in family support, changes in housing, etc.) by revising the PCSP and communicating changes to interdisciplinary team
• Participates in and presents cases at the Interdisciplinary Care Team meetings to discuss any changes in member’s condition/sentinel events Education Graduate of an accredited nursing program,

Qualifications: 

• RN in the State of New York
• 2-3 years of clinical experience
• 2 years of case management experience
• knowledge of MLTC guidelines