RN Case Manager

🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $85k - $95k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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ConcertoCare

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2015

⚕️ Healthcare Insurance

🏥 Healthcare

🌍 Social Impact

Healthcare Insurance • Healthcare • Social Impact

ConcertoCare is a healthcare provider that specializes in delivering in-home medical care and support services for seniors. Their mission is to enable elderly patients to maintain independence and quality of life by providing coordinated health services right in their homes. With a focus on both medical and social needs, ConcertoCare offers a range of services, including primary care, transportation assistance, food support, and palliative care, particularly for those with complex care requirements. As a risk-bearing provider, ConcertoCare emphasizes advanced analytics and virtual care technology to enhance health outcomes for vulnerable populations, ensuring that each patient receives tailored care that addresses their unique challenges.

📋 Description

• 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 new 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 care transitions, including outreach and assessment during and after hospitalization • Address discharge needs, facilitate provider follow-up, and perform medication reconciliation • Identify and implement interventions to address gaps in care and reduce inpatient admissions, readmissions, emergency room visits, and institutional placement • Collaborate with multidisciplinary internal teams, external providers, and social service organizations • 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 • Report to the Vice President of Case Management and work with Population Health and market-based care teams • Perform other duties as assigned

🎯 Requirements

• 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 • Critical thinking skills in unexpected circumstances • Effective written and verbal communication • 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 • High level of professionalism

🏖️ Benefits

• Yearly continuing education allowance • Medical, Dental, Vision and 401k • Competitive salary and bonus program • 15 days of PTO • 8 paid holidays yearly • 3 floating holidays • Full healthcare coverage • 401K with match • Health, wellness, and financial benefits • Alcohol/Drug/Smoke-Free Workplace