Sign upLog in

Travel Nurse RN - Emergency Room (ER) / Trauma - $2,622 per week in New York City, NY

Cynet Health

New York City, NY

Apply
JOB DETAILS
SALARY
$2,621.80–$2,621.80
SKILLS
Certified Case Manager (CCM), Chronic Disease, Clinical Medicine, Clinical Nursing, Computer Skills, Customer Support/Service, Disease Prevention and Control, Documentation, Emergency Care, Emergency Nursing, Health Plan, Leadership, Maintenance Services, Medical Assistance, Multilingual, Nursing, Nursing Home, Plan Meetings, Primary Care, Problem Solving Skills, 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
2 days ago
Job Title: Care Manager Profession: Care Manager Specialty: ED Duration: 8 months Shift: Variable Hours per Shift: 35.00 Experience: Minimum of five years of clinical experience as a Registered Nurse. Leadership experience preferred. License: RN Licensed as a Registered Nurse in the State of New York required. Certifications: Baccalaureate degree required. PRI and Screen certification within three months of employment is required. Master’s Degree and Bilingual Spanish Certification in Case Management preferred. Must-Have: Bilingual (Spanish speaking), Care Coordination experience, review assessments, computer literacy required. Description: The Care Manager develops, facilitates, monitors, and communicates a care plan in partnership with the member, their family, or significant other, primary caregiver, primary and/or attending physicians, and various providers. Using the assessments and interviews conducted by the Assessment Nurse, the Care Manager identifies the risk factors, strengths, challenges, and service needs of the member as they strive to maintain safety and wellness in their community setting. Responsibilities include reviewing and evaluating assessment and UAS information for members in the MLTC and MAP lines of business. The role involves developing a working relationship with the primary care provider to discuss the member’s care. Assessment findings will be reviewed with the primary care provider to identify any concerns that may not have been noted by the clinical team. The Care Manager will identify risk factors and assign risk categories to the members. As part of the Care Management team, they will develop a formal care plan for all services required by the member, including a disaster plan. The Care Manager will monitor the condition of all members at least monthly, typically by telephone, but in-person when necessary. Clinical issues requiring immediate assessment and/or treatment to reduce the risk of unnecessary hospitalizations, emergency department visits, or nursing home admissions will be identified. Opportunities to improve the quality of care by ensuring members receive necessary preventative and chronic disease care will be determined. Requests for additional services will be pre-approved based on assessments and using evidence-based standards; denial, reduction, or limitation of service requests will be referred to the Medical Director. Assistance will be provided to members with the coordination of services both within and outside networks as appropriate, including facilitating discharge from acute settings and alternate settings. Care Coordination will be provided through the continuum of care. The Care Manager will optimize both the quality of care and the quality of life for the members. Coordination with the Utilization Management department on concurrent and retrospective reviews will be conducted. Follow-up with assigned nurses for clinical updates to care plans will occur. Documentation within two business days of coordination notes and routine contacts with members will be maintained according to the level of risk assigned. Participation in team care planning meetings is required. The Care Manager will handle complaints that can be resolved promptly. Support will be provided to Customer Service and the Utilization Management department by supplying necessary records and materials for grievances from members. Communication with members regarding delinquent spend-down payments will be conducted. Collaboration with all departments is expected. Members appropriate for specialty programs will be identified. All MLTC/MAP management activities will be performed in compliance with relevant regulatory agency requirements. Information requested by the Quality Management Department for review by various Quality committees will be provided. Completing all other tasks assigned by department leadership is necessary. Participation in the department on-call schedule, which is rotated among staff, is required.

About the Company

C

Cynet Health

Cynet Health is a TJC certified MBE and one of the fastest-growing healthcare staffing firms in the US providing Health Med and Health IT staffing and consulting services to countless hospitals, SNFs, clinics, labs, CROs, health & wellness centers, pharmacies, and other medical facilities across the United States. Headquartered in Sterling, Virginia, we are a certified Minority-Owned Business Enterprise and a recognized Diversity Supplier.

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Healthcare Services
WEBSITE
https://cynethealth.com/