Based in the Metropolitan New York area, this leading MLTC offers its employees the ability to work remotely while having a supportive environment. This position offers an excellent salary, benefit package and bonus!
Case Manager MLTC
in Healthcare + Life Sciences PermanentJob Detail
Job Description
Responsibilities:
- Provides 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.
- Completes scheduled telephonic re-assessments and reviews UAS -NY visit data based on the plan specific reports as per departmental workflow.
- Utilizes completed re-assessments to revise/update a Person Centered Service Plan (PCSP). Responds to changes in member’s condition/sentinel event.
Qualifications:
- RN license in the State of NY.
- Minimum three to five years nursing experience in long term care, managed care, home care, geriatrics or hospice.
- Prior experience in an interdisciplinary service delivery environment preferred.
- Working knowledge of Medicare and Medicaid regulations.
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