TravelNurseSource is working with Cynet Health to find a qualified Nurse Manager RN in New York City, New York, 10004!
Pay Information
$2,304 per week
About The Position
Job Title : Care Manager
Profession : Care Manager
Specialty : ED
Duration : 13
Shift : Hybrid 9-5 PM
Hours per Shift : 35.00
Experience : Minimum of five years clinical experience as a Registered Nurse; leadership experience preferred
License : RN Licensed as a Registered Nurse in the State of New York required
Certifications : Baccalaureate degree required; PRI and Screen certification within three months of employment is required; Master’s Degree and Bilingual Spanish Certification in Case Management preferred
Must-Have : Experience with Care Coordination, Utilization review, and discharge planning; computer literacy required
Description :
Review and evaluate the assessment and UAS information for members.
Develop a working relationship with the PCP to discuss the care of the member.
Review assessment findings with the PCP to identify any concerns not previously identified by the clinical team.
Identify risk factors and assign the risk category to the member.
As part of the Care Management team, develop a formal care plan for all necessary services for the member, including the member's disaster plan.
Monitor the condition of all members at least monthly, typically by telephone, but face-to-face when necessary.
Identify clinical issues requiring immediate assessment and / or treatment to reduce the risk of unnecessary hospitalizations, ED visits, or nursing home admissions.
Identify opportunities to improve quality of care by ensuring members receive needed preventative and chronic disease care.
Prior approve requests for additional services based on assessments and using evidence-based standards.
Refer denial, reduction, or limitation of service requests to the Medical Director.
Assist members with coordination of services within and outside networks as appropriate.
Facilitate discharge from acute settings and alternate settings.
Provide care coordination throughout the continuum of care.
Optimize both the quality of care and quality of life for members.
Coordinate with Utilization Management department on concurrent and retrospective reviews.
Follow up with assigned nurses for clinical updates to the care plan.
Document coordination notes and routine contacts with members within two business days according to the risk level assigned.
Participate in team care planning meetings.
Handle complaints that can be resolved in one day.
Assist Customer Service by providing records and materials needed for grievances.
Speak to members who are delinquent in their spend-down payments.
Cooperate with all departments.
Identify members appropriate for specialty programs.
Perform all management activities in compliance with regulatory agency requirements.
Provide requested information from the Quality Management Department for review by various quality committees.
Complete all other tasks assigned by department leadership.
Participate in the department on-call schedule, which is rotated among the care team.
28641431EXPPLAT
Job Requirements
Required for Onboarding
About Cynet Health
Your travel nursing adventure begins here. Matching talented nurses like you with high-paying travel jobs at the best facilities across all 50 states. We offer the most competitive pay for every position we fill. We understand this is a partnership. You will have no surprises. Your salary will be discussed upfront and there will be no troubling negotiation tactics.
Registered Nurse Rn • Buffalo, New York, US