RN Case Manager - MLTC

RN Case Manager MLTC

Compensation and Benefits Salary: $100,000 $125,000

Position Summary

The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes.

Schedule / Shift:

• 4 days a week remote. 1 day a week in the field.
• Monday through Friday business hours

Key Duties

• Ensures consistent care along the entire health care continuum by assessing and closely monitoring members' needs and status.
• Authorizes covered services and coordinates care regardless of payer.
• Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings.
• Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member.
• Ensures appropriate, safe plan for members' discharge from their plan.

Qualifications Education and Experiences

• Associate's degree in nursing from an accredited nursing program required
• Bachelor's degree in nursing preferred
• Three (3) years of experience as a registered nurse required
• Clinical experience in geriatrics and/or managed long-term care experience preferred
• Experience using multiple languages may be required based on operational needs

Licenses and Certification

• Current, unrestricted Registered Nurse licensure in the state of New York required
• Case Management Certification preferred

Skills

• Ability to communicate effectively with a diverse group of individuals
• Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
• Strong advocate for members at all levels of care
• Critical listening and thinking skills
• Strong organizational and time management skills

About Us

RCM Healthcare Services' mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.

Equal Employment Opportunity & Reasonable Accommodation

RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.