Care Manager - ED (000087)

Job Description

Job Description

Duties:
This is the pay range that reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable].
The primary goal of the Care Manager is to optimize members health care and delivery of care experience
with expected cost savings due to improved quality of care. This is accomplished through engagement and
understanding of the members needs, environment, providers, support system and optimization of services
available to them. Care Manager is expected to assess and evaluate members needs, be a creative, efficient,
and resourceful problem solver. In collaboration with the members care team, a plan of care with
individualized goals and interventions is developed, implemented and outcomes evaluated

Skills:
Five years minimum of clinical experience as a Registered Nurse. Leadership experience preferred. Experience with Care Coordination, Utilization review and discharge planning Computer literacy required.
Minimum 2 years prior experience in a health care setting, Care Management, or Managed Care setting required
Ability to proficiently read and interpret medical records, claims data, pharmacy, lab reports and prescriptions required
Ability to work closely with member and caregiver

Education:
RN Licensed as a Registered Nurse in the State of New York required.
Baccalaureate degree required.
PRI and Screen certification within three months of employment is required.
Masters Degree and Bilingual Spanish Certification in Case Management preferred.
Registered Nurse with current NYS license
Bachelors Degree required

Languages:
English: Read, Write, Speak

Skills:
Required
Healthcare Managementrn License managed Care

Minimum Degree Required:
Bachelor's Degree

Schedule Notes:
Work Schedule: Full time Hours Per Week: 35 Days: Monday, Tuesday, Wednesday, Thursday, Friday Shift time: 9am - 5pm Work location: Hybrid Patient Facing: No Minimum education level: Graduate Language competencies: English License/Registration required: Yes