Intake Care Manager (RN)

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

About the Opportunity A widely recognized health plan located in Queens is actively seeking a diligent and driven Registered Nurse (RN), who is bilingual in English and Bengali, for a promising opportunity on their staff as an Intake Care Manager. In this role, the Intake Care Manager will work in collaboration with the prospect, enrollment and sales teams to conduct clinical assessments, recommend appropriate level of services and create an individual care plan. Apply today! Company Description Health Plan Job Description The Nurse Care Manager (RN) will: * Conduct face-to-face and telephonic assessments of members' functional status, medical, behavioral, psychosocial and community resource needs * Develop an ICP/PCSP based on members' clinical, behavioral and social needs that incorporates barriers to care * Coordinate and arrange for all services required by a member in accordance with the ICP * Modify ICP/PCSP as appropriate to member's needs and progress * Educate prospect on plan medical benefits, policies and procedures for members, providers and community based agencies * Adhere to documentation policies and procedures including documentation of Care Management activities and their effectiveness * Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population * Collaborate with other Care Managers to reduce variations in clinical practice, identify opportunity for systems' improvement, and develop policies and procedures relevant to practice * Provide backup to other Nurse Care Managers who conduct reassessments as needed * Perform other duties as assigned Required Skills * Active New York State Registered Nurse license * Bilingual, English and Bengali * 2 years of experience with home care, care management, recent acute care experience, or physician office experience. * Knowledge of Medicare and Medicaid programs * Knowledge of chronic disease management * Strong professional level of knowledge and comprehensive community resource skills in the adult population * Outstanding communication skills sufficient to related product benefits and create comprehensive clinical notes * Strong computer skills: competent in Microsoft Office Products (Outlook, Word, Excel) Desired Skills * Medicare/Medicaid managed care experience * Experience in performing clinical assessment * Experience working with a geriatric population or equivalent experience * NYS assessment tool