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Travel Nurse RN - Emergency Room (ER) / Trauma - $2,450 per week in New York City, NY

TravelNurseSource

New York City, NY

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JOB DETAILS
SALARY
$2,450.50–$2,450.50
SKILLS
Chronic Disease, Clinical Assessment, Clinical Medicine, Clinical Nursing, Customer Support/Service, Disease Prevention and Control, Emergency Care, Emergency Nursing, Health Plan, Identify Issues, Leadership, Long-Term Care, Maintain Compliance, Maintenance Services, Managed Care, Medicaid, Medical Assistance, Multilingual, Nursing, Nursing Home, Patient Care Denials, Plan Meetings, Primary Care, Quality Management, Quality of Care, Registered Nurse (RN), Regulatory Compliance, Regulatory Requirements, Resolve Customer Issues, Risk, Risk Analysis, Risk Management, Spanish Language, Utilization Management
LOCATION
New York City, NY
POSTED
1 day ago
TravelNurseSource is working with Cynet Health to find a qualified ER/Trauma RN in New York City, New York, 10004!

Job Title: Care Manager Profession: Care Manager Specialty: ED Duration: 8 Shift: Not specified Hours per Shift: 35 Experience: Five years minimum of clinical experience as a Registered Nurse License: RN Licensed as a Registered Nurse in the State of New York required Certifications: Baccalaureate degree required Must-Have: Bilingual (Spanish speaking), Care Coordination experience, Review assessments Description: The Care Manager develops, facilitates, monitors, and communicates a care plan in partnership with the member, their family or significant other, primary caregiver, the primary and/or the attending physicians, and various providers. Using the assessments and interview done by the Assessment Nurse, the Care Manager identifies the risk factors, strengths, challenges, and service needs of the member as they strive to keep them safe and well in their community setting. Review and evaluate the assessment and UAS information for members in the Managed Long Term Care and Medicaid Advantage Plans. Develop a working relationship with the primary care provider to discuss the care of the member. Review assessment findings with the primary care provider to identify any concerns that have not been identified by the clinical team. Identify risk factors and assign the risk category to the member. As part of the Care Management team, develop a formal care plan for all services needed for the member, including the member’s disaster plan. Monitor the condition of all members at least monthly, typically by telephone but face-to-face when necessary. Identify clinical issues that require immediate clinical assessment and/or treatment to reduce the risk of unnecessary hospitalizations, emergency department visits, or nursing home admissions. Identify opportunities to improve the quality of care by ensuring members receive needed preventative and chronic disease care. Prior approve requests for additional services based on assessments and using evidence-based standards. Refer denial, reduction, or limitation of service requests to the Medical Director. Assist members with the coordination of services both within and outside networks as appropriate. This includes facilitating discharge from acute settings and alternate settings. Provide Care Coordination through the continuum of care. Optimize both the quality of care and the quality of life for the members. Coordinate with the Utilization Management department on concurrent and retrospective review. Follow up with assigned nurses for clinical updates to the care plan. Document within two business days coordination notes and routine contacts with the members according to the level of risk assigned to them. Participate in team care planning meetings. Handle complaints that can be resolved in one day. Assist Customer Service and the Utilization Management department by providing records and materials needed for grievances from members. Speak to members who are delinquent in their spend-down payments. Cooperate with all departments. Identify members appropriate for specialty programs. Perform all Managed Long Term Care/Medicaid Advantage Plans management activities in compliance with all regulatory agency requirements. Provide information on all requests from the Quality Management Department to be reviewed by various Quality committees. Complete all other tasks assigned by department leadership. Participate in the department on-call schedule, which is rotated amongst the team.

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TravelNurseSource