Senior LTSS Service Care Manager, RN

🕒 Setembro 29

🗽 New York – Remoto

🗽 New York – Remote

💵 $36 - $65 / hora

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

👻 Score fantasma 13%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 44 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.

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Centene Corporation

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1984

🛡️ Seguros

💼 Consultoria

🏥 Saúde

Insurance • Consulting • Healthcare

Centene Corporation é uma provedora líder de serviços de saúde patrocinados pelo governo, especializada em oferecer soluções de saúde acessíveis e de alta qualidade. Há mais de 40 anos, a Centene tem se dedicado a transformar a saúde das comunidades, ampliando o acesso a Medicaid, Medicare e ao Health Insurance Marketplace, além de atender comunidades militares por meio do programa TRICARE. Como a maior organização de managed care do Medicaid e participante-chave no Marketplace, a Centene enfatiza a entrega de cuidados de saúde com foco local, combinada a parcerias sólidas com organizações sem fins lucrativos para atender às necessidades únicas de seus membros. A Centene também é comprometida com sustentabilidade corporativa e responsabilidade social, priorizando a gestão ambiental e a governança ética para promover o bem-estar das comunidades que atende.

Descrição

• Perform care management duties to assess and coordinate medical and supporting services across the continuum of care for complex/high-acuity populations • Develop personalized care plans/service plans for long-term care members • Conduct UAS Assessments for the MLTC member population with Fidelis • Evaluate complex or high-risk/high-acuity members' service needs and recommend care plans • Collaborate with care management teams to identify providers, specialists, and community resources • Coordinate between members/families/caregivers and care provider teams to ensure appropriate person-centered care • Monitor care plans, member status, changes in condition, complications, symptoms, and progress toward goals • Review member data, referrals, and intake assessments to improve care quality and operating performance • Collaborate with healthcare providers to facilitate services and treatments and revise care plans • Collect, document, and maintain member information and care management activities • Educate members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, benefits, and community resources • Act as liaison and member advocate among members/families, physicians, facilities, and agencies • Coordinate service authorizations for services such as meals, employment, housing, foster care, transportation, and activities of daily living • May conduct home and other site visits, such as monthly or more often, to assess member needs and collaborate with resources • Partner with leadership to improve quality of care and cost-effective service delivery • May precept clinical new hires and provide coaching, shadowing, onboarding, and competency support • Engage with People Leaders and cross-functional teams to monitor new-hire readiness • Perform other assigned duties and comply with policies and standards

🎯 Requisitos

• Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience • Bachelor's degree in Nursing preferred • RN - Registered Nurse - State Licensure and/or Compact State Licensure required, or NP - Nurse Practitioner - Current State's Nurse Licensure required • Schuyler/Steuben/Livingston/Alleghany county residency required • NY RN Licensure required for eligibility • Ability to conduct UAS Assessments • Knowledge of long-term care, managed care, service plans, healthcare benefits, community resources, and applicable state and federal regulations

🏖️ Benefícios

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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