Case Manager MLTC

• Responsibilities/Job Duties:
• Perform 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. RN Care Manager will be knowledgeable in and adhere to CMS/DOH 
• Completes initial telephonic assessments and reviews UAS -NY visit data as assigned by the Supervisor of Coordinated Care in accordance with departmental workflow.
• Utilizes completed assessments to develop a Person Centered Service Plan (PCSP) Completes scheduled telephonic re-assessments and reviews UAS -NY visit data based on the plan specific reports as per departmental workflow.
• Participates in and presents cases at the Interdisciplinary Care Team meetings to discuss any changes in member’s condition/sentinel events

Background:

• RN in the State of New York
• 2-3 years of clinical experience
• Case Management experience in a Managed Care setting
• MUST LIVE IN THE NEW YORK CITY AREA