RN Case Manager

🕒 4 dias atrás

🗽 New York – Remoto

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💵 $85.000 - $95.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

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👻 Score fantasma 0%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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ConcertoCare

201 - 500 funcionários

Fundada em 2015

⚕️ Seguro de Saúde

🏥 Saúde

🌍 Impacto Social

Healthcare Insurance • Healthcare • Social Impact

A ConcertoCare é um provedor de saúde que se especializa em oferecer cuidados médicos e serviços de apoio domiciliares para idosos. Sua missão é permitir que pacientes idosos mantenham sua independência e qualidade de vida, proporcionando serviços de saúde coordenados diretamente em suas casas. Com foco nas necessidades médicas e sociais, a ConcertoCare oferece uma gama de serviços, incluindo cuidados primários, assistência com transporte, apoio alimentar e cuidados paliativos, especialmente para aqueles com exigências complexas de cuidados. Como um provedor que assume riscos, a ConcertoCare enfatiza análises avançadas e tecnologia de atendimento virtual para melhorar os resultados de saúde para populações vulneráveis, garantindo que cada paciente receba cuidados personalizados que atendam aos seus desafios únicos.

Descrição

• Coordinate all aspects of patients’ medical, behavioral, functional, and social care • Serve as a patient advocate across the continuum of care • Conduct initial intake calls and scheduled or urgent patient outreach • Review and update care plans, monitor progress, ensure needs are met, and identify concerns • Provide ongoing care coordination for an assigned panel of complex patients • Conduct needs assessments and develop plans of care with the patient’s care team • Support patients during care transitions, including post-hospitalization outreach and assessment • Facilitate provider follow-up and perform medication reconciliation • Identify and implement interventions with multidisciplinary teams, external providers, and social service organizations • Address gaps in care and mitigate risks of admissions, readmissions, emergency room visits, and institutional placement • Help patients safely remain in their desired and appropriate home environment • Identify and verify appropriate utilization of resources across the continuum of care • Participate in interdisciplinary care team huddles and clinical meetings • Participate in quality improvement and evaluation processes • Adhere to compliance policies, procedures, standards of conduct, laws, and regulations • Mentor new hires and existing case management team members • Perform other duties as assigned

🎯 Requisitos

• Current RN License in good standing in the state of practice required or an unencumbered multistate license • Bachelor's degree in nursing required, or associates in nursing with other clinical or business bachelor’s degree • Minimum of 4 years experience working in a clinical setting • At least 2 years of case management experience in home health care, ambulatory care, community public health, and/or the insurance setting • Certified Case Manager (CCM) certification or commitment to complete when eligible • Geriatric care experience is highly desired • 2 years of discharge planning, utilization management, case management, performance improvement, and/or managed care preferred • Knowledge of Medicare and Medicaid regulations and insurance benefits preferred • Strong knowledge of clinical best practices as they relate to case management, discharge planning, utilization management, performance improvement, and/or managed care • Strong clinical skills and ability to implement evidenced-based care • Ability to manage patient complexity and multiple clients with diverse needs • Demonstrated ability to triage patient-reported symptoms and issues requiring escalation • Ability to communicate effectively in writing and verbally • Demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines • Ability to work in a fast-paced, dynamic environment and work well with others on a team • Proficient computer skills including Microsoft Office Suite (Outlook, Excel, PowerPoint, Word) and clinical systems/EMR competency • Knowledge and ability to navigate internet-based tools and applications • Proficiency in computer documentation • Demonstrates a high level of professionalism

🏖️ Benefícios

• Yearly continuing education allowance • Medical, Dental, Vision • 401k with match • Competitive salary and bonus program • 15 days of PTO • 8 paid holidays yearly • 3 floating holidays • Full healthcare coverage • Broad range of health, wellness, and financial benefits

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