Skip navigation
Unable to save this job. Please try again later.

{msg}

Email this Job to Yourself or a Friend

To begin the application process, please enter your email address.

Company Contact Info

  • New York, NY
  • Medix

Already have an account?

Sign in to apply with your saved resumes.

New to CareerBuilder?

Don't have an account? Continue as a guest!

Sorry, we cannot save or unsave this job right now.

Report this Job

Trust and Site Security Team.

Don't miss out on new jobs!

Get the latest Case Manager (Healthcare Practitioners and Technical) jobs in New York, NY delivered directly to your inbox. You can unsubscribe at any time.

Saving Your Job Alert

Job Alert Saved!

Could not save Job Alert!

You have too many Job Alerts!

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

Sign Up

or   Sign In Here
Password Must Contain
• 
8 to 15 characters
• 
1 uppercase letter
• 
1 number or symbol
• 
1 lowercase letter
Cancel
Create an Account with CareerBuilder to save jobs & unlock these great features
See similar job titles and skills to help you make your next move
Upload a resume and become visible to Hiring Managers and Employers
Compare Salary Information to see where you stand amongst your peers
Easily Quick Apply to jobs with just one click!

Email Send Failed!

RN Case Manager MLTSS (Telecommute)

Medix • New York, NY

Posted 10 days ago

Job Snapshot

Full-Time
$85,000.00 - $95,000.00 /Year
Managed Care
Nurse
11

Applicants

How Do You Compare to the Competition?

Get facts about other applicants with a CareerBuilder Account

Job Description

RN Care Manager MLTSS (Telecommute)

NYS Registered Nurse for Medicaid/LTSS

Job Description

The Care Manager plans and manages behavioral and/or physical care with members and their beneficiaries and works with clinicians and health care team members. The Care Manager facilitates care and medical attention and addresses identified member needs across the continuum of care. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of the member's health care services.

Duties/Responsibilities:

  • Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.
  • Conducts assessments to identify barriers and opportunities for intervention.
  • Develops care plans that align with the physician's treatment plans and recommends interventions that align with proposed goals.
  • Generates referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement.
  • Collaborates with provider doctors, social workers, discharge planners, and community based service providers to coordinate care accordingly.
  • Coordinates and facilitates with the multi-disciplinary health care team as necessary in order to ensure care plan goals are achieved and maximize member outcomes.
  • Assists in identifying opportunities for alternative care options based on member needs and assessments.
  • Evaluates service authorizations to ensure alignment and execution of the member's care and physician treatment plan.
  • Contributes to corporate goals through ongoing execution of member care plans and member goal achievement.
  • Documents all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates care plans based on member needs, as appropriate.
  • Occasional overtime as necessary.


Preferred Qualifications:

  • Strong interpersonal and assessment skills, especially the ability to relate well with seniors, their families, and community care providers, along with demonstrated ability to handle rapidly changing crisis situations.
  • Knowledge and experience with the current community health practices for the frail adult population and cognitive impaired seniors.
  • Knowledge of InterQual and LOCADTR.
  • Experience managing member information in a shared network environment using paperless database modules and archival systems.
  • Experience and knowledge of the relevant product line
  • Relevant work experience preferably as a Care Manager
  • Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment
  • Proficient with simultaneously navigating the Internet and multi-tasking with multiple electronic documentation systems
  • Experience using Microsoft Excel with the ability to edit, search, sort/filter and other Microsoft and PHI systems




Job Requirements

Requirements:

RN State of NY
Care Manager experience
Medicaid experience
Job ID: 75372
Help us improve CareerBuilder by providing feedback about this job: Report this Job.
CAREERBUILDER TIP
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.
Don't miss out on new jobs like this
Get the latest jobs delivered to your inbox. Unsubscribe at any time.

Saving Your Job Alert

Job Alert Created

Well, this is embarrassing. We are having trouble saving your search. You can try again or come back at a later time.

Maximum Email Alerts

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.