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Case Manager V (66572)

Professional Management Enterprises
United States, New York, Bronx
Mar 19, 2025
RNCase Managertoconduct UAS Assessments to support care management. The position will be a field positioninBoroughs: Bronx/ Westchester/ Manhattan, NY visiting nursing and assisted living facilities. Schedule will be M-F 8:30AM-5PM.***RN UAS Certified highly preferred.Bilingual inSpanish or Bengali is highly preferred. Essential Functions/Responsibilities: UAS Certified RN licensed in the state of NY. Conduct face to face assessments of members' functional status, medical, behavioral, psychosocial and community resource needs. Provides the Interdisciplinary Care Team (ICT) with assessment information and acts as facilitator to ensure that members' needs are met. Develop an ICP/PCSP based on members' clinical, behavioral, and social needs that addresses barriers to care. Competently assesses members' health status and ensures that member is receiving all necessary medical and supportive services. Manage care transitions through effective and timely communication necessary for member care and discharge planning. Clarifies SWH plan medical benefits, policies and procedures for members, providers and community-based agencies. Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population. Required Education: Bachelor's Degree (a combination of experience and education will be considered in lieu of degree). Required Licensure/Certification: NY State RN Licensein good standing.RNCase Managertoconduct UAS Assessments to support care management. The position will be a field positioninBoroughs: Bronx/ Westchester/ Manhattan, NY visiting nursing and assisted living facilities. Schedule will be M-F 8:30AM-5PM.***RN UAS Certified highly preferred.Bilingual inSpanish or Bengali is highly preferred. Essential Functions/Responsibilities: UAS Certified RN licensed in the state of NY. Conduct face to face assessments of members' functional status, medical, behavioral, psychosocial and community resource needs. Provides the Interdisciplinary Care Team (ICT) with assessment information and acts as facilitator to ensure that members' needs are met. Develop an ICP/PCSP based on members' clinical, behavioral, and social needs that addresses barriers to care. Competently assesses members' health status and ensures that member is receiving all necessary medical and supportive services. Manage care transitions through effective and timely communication necessary for member care and discharge planning. Clarifies SWH plan medical benefits, policies and procedures for members, providers and community-based agencies. Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population. Required Education: Bachelor's Degree (a combination of experience and education will be considered in lieu of degree). Required Licensure/Certification: NY State RN Licensein good standing.