Case Manager MLTC

Responsibilities:

• Providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member’s health needs while promote quality cost effective outcomes.
• Work with member/family to maintain the most independent living situation possible.
• Ensure consistent care along the entire health care continuum by assessing and closely monitoring member’s needs and status.
• Authorizes covered services and coordinates care regardless of payer.
• Will collaborate and communicate with member/family/caregivers, primary care practitioners, and the interdisciplinary team.

Qualifications:

• New York State Registered Nurse license and registration
• Bachelor of Science degree in Nursing
• Minimum of 3 years of Registered Nurse experience
• Clinical expertise in geriatrics preferred
• Managed long term care experience preferred
• Bilingual skills may be required as determined by operational needs