RN Case Manager

Location: Rochester, NY
Date Posted: 02-01-2019
Case Management RN – Managed Care
Rochester, NY
Case Manager Job Summary:
  • The Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them the necessary resources, options, and coordination for a healthy care outcome.
  • The primary responsibility of the Nurse Case Manager is to coordinate and monitor the care of Health Plan members and develop a nursing plan of care.
  • They will participate in interdisciplinary conferences to review clinical assessments, update care plans and determine follow-up frequency.
  • The Case Manager also acts as an advocate for members and their families linking them to other members of the care team to help them gain knowledge of their disease process and to identify community resources for continued growth toward a maximum level of independence. 
Case Manager Background: 
  • Valid, unrestricted state Registered Nurse (R.N.) license or LMSW
  • Prefer a Bachelor of Science or Arts; can be in Nursing or any field of study.
  • Certification in Case Management (CCM) is preferred.
  • Around 5 years’ acute care clinical nursing experience, including:
  • 2 years’ experience with Care Coordination, Case Management and/or discharge planning.
  • Case Management experience can be from a Health Plan, TPA, Home Health, or Hospital setting.
  • Experience working with Federal and State assistance programs (Medicare/Medicaid/etc) is preferred.
  • Experience with reviewing UAS assessments for care plan creation strongly preferred.
  • Basic computer literacy (MS Office) and typing skills are necessary.
  • Bilingual in English and Spanish (or other languages beneficial to local population) is a plus.
410.885.4745 (CALL – TEXT – FAX)

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