Care Manager (RN) - FIDA

The Execu|Search Group
Aug 13, 2017
Aug 14, 2017
Employer Type
Direct Employer
Employment Type
Full Time
Job Description:

About the Opportunity A nonprofit managed care organization in New York City is actively seeking a new, licensed Registered Nurse (RN) for a promising Care Manager position with their growing staff. In this role, the Care Manager (RN) will be responsible for conducting assessments, developing treatment plans, performing defined interventions, and generating referrals to providers, community-based resources and appropriate social services. Apply today! Company Description Nonprofit Managed Care Organization Job Description The Care Manager (RN) will be responsible for: * Contributing to the development of patient-focused care and initiating the process in accordance with established guidelines * Assessing member's physical, psychosocial and discharge planning needs through communication with appropriate hospital staff, including Attending Practitioner, Utilization Review staff, Discharge Planners, Social Workers, etc. * Functioning as a clinical resource/educator for the Multi-Disciplinary Healthcare team on an ongoing basis in order to maximize quality of patient care as well as effectively manage length utilization and coordination of resources. * Assisting in identifying opportunities for and facilitating alternative care options based on member needs and assessments. * Evaluating and pre-authorizing requests for inpatient / outpatient, specialty care, home care, Durable Medical Equipment, and transportation services from network and out-of-network providers in accordance with departmental guidelines. * Performing pre-authorization, concurrent and retrospective reviews of Medicare / Medicaid / Commercial members to evaluate appropriateness of admission, need for continued stay, length of stay, utilization of resources, patient outcomes, and usage of other services post-encounter Required Skills * 1+ year of Care / Case Management experience in a Long-Term Care setting * Associate's Degree in Nursing * NYS Registered Nurse (RN) license * Experience working with the Geriatric, Homeless, Addiction, and/or Foster Care environment * Previous experience with Discharge Planning * Solid assessment, clinical, and documentation skills * Patient oriented * Great interpersonal skills * Excellent communication skills (written and verbal) * Strong attention to detail * Highly organized