The care management position is a dual role of telephonic and in-home care management visits. Your residence is your home base with occasional meetings at the companys Batavia office. Mileage will be compensated from your home base.
RN is responsible for providing care management for a group of members through a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet a member's health needs through communication and available resources. Develops comprehensive care plan for identified needs
Coordinates all of these services to ensure effective organization of long-term care and health-related services across the spectrum of community-, home-, and facility-based settings.
Performance Responsibilities and Standards:
Maintains member in the most independent living situation as possible.
Provides care management for a group of members through a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet a member's health needs through communication and available resources,
Conducts home/ facility visits for comprehensive health assessments and reassessments to identify health and environmental needs.
Revises and amends care plan as needed based on changes to the members physical, mental, or social wellbeing. This is done at least every 6 months or whenever a change occurs.
In collaboration with members, develops their individualized short and long term goals
Uses approaches and tools to engage members and their families in self management and self activation
Utilizes care standards and strategies to develop comprehensive individualized care plan for identified needs
Provides services that are required to implement the care plan
Home visit to member minimally at least every six months
Performs at minimally a monthly phone call to member to review care plan services and any health change status,
Document all member activity in the Medical record on a timely basis.
Closely communicates and collaborates with member, their Primary Care Provider, interdisciplinary team, caregivers and family.
Participates in care conferences with Medical Director on an as needed basis.
Promotes quality cost-effective outcomes.
Maintains members in the most independent living situation possible
Ensures consistent care along entire health care continuum by assessing and closely monitoring members' needs and status.
Acts as a liaison and member advocate.
Provides services and authorizes/coordinates services within a capitated managed care system.
Accurately and completely documents communications with care providers, network providers, members, families
Ensures compliance with all State and Federal regulations, and requirements.
Participates in Quality Assurance and Improvement activities.
Other duties as assigned
Nursing: License and current registration as a Registered Professional Nurse in New York State. Education: BSN preferred, Associates Degree required. One year of Nursing Experience preferred
Long term care and/or managed care experience required
Knowledge of homecare, Medicare and Medicaid preferred
Case Management Certification Preferred
Bilingual skills preferred
Ability to work independently, multiple assignments, prioritize workload.
Strong communication skills person to person and by phone.
Valid NYS drivers license and ability to drive in all types of weather
Compensation & Benefits:
Competitive Salary with:
401K with generous Employer match
No rotating shifts
Medical, Dental, Vision plans
Partially funded HSA
Short/Long term Disability
Employee Assistance Program ( EAP)
Nascentia Health is an Equal Opportunity Employer ( EOE)
Employment is contingent upon negative results of a pre-hire drug screen