Elderwood IPA is seeking an RN Care Manager to join our incredible growing team of professionals in Buffalo, NY.
Why should you join Elderwood IPA?
Monday-Friday Schedule w/ no weekends or overnightsRemote working optionsMedical, Dental & Vision upon 1st of month following 60 days of hireUp to 140 hours (19 days) of PTO time PLUS six (6) holidays within the 1st year401(k) retirement plan with vested employer match up to 4%Substantial Referral program Join Our Team Are you ready for a rewarding career? Join a company that cares for you, too. Employee Perks! 401K Retirement Plan with Company Match, Generous PTO & holiday package, Life Insurance, Medical, Dental, and Vision insurance, Point-earning employee reward program: redeem for prizes!, Strong leadership, Substantial employee referral program ResponsibilitiesIn the role of an RN Care Manager, You will partner with the Social Worker and are a critical resource for our members as you are responsible for assessing a member’s home health and level of care needs, assisting them in accessing necessary covered services, providing referrals and coordinating other medical services in support of their member centric service plan.
The RN Care Manager also assists our members with obtaining needed medical, social, educational, psychosocial, financial, and other services, irrespective of whether the needed services are covered Elderwood IPA.
Provide a care management process of assessment, planning, facilitation, and advocacy for options and services to meet a member’s home health needsPerform comprehensive (physical, emotional, psychosocial, and environmental) assessments in the Member’s home to assess potential enrollees’ appropriateness for Managed Long-Term Care (MLTC), or to reassess a member’s status and needs.Developing and maintaining of a person-centered service plan based on a needs’ assessment Review financial, legal, or medical issues and refer Members to social work or other professionalsEnsure that documentation in the care management record meets all applicable professional standardsEarly identification of incipient problems or significant changes in Member conditions to initiate early interventionCompetently use the UAS-NY assessment tool. (Preferred)Use of standard patient assessment instruments such as PRI, UAS-NY Qualifications Current New York State Registered Nurse License and a valid NYS Driver’s license (Required)BSN or AAS Degree or diploma in Nursing and Case Management Certification (Preferred)Minimum of three (3) years nursing experience in home care, case management, discharge planning or managed careMinimum of one (1) year experience working with a frail or elderly populationMinimum one (1) year experience with health assessmentsDemonstrated favorable interpersonal and assessment skills.Ability to identify patterns, connections and underlying themes that lead to understanding and resolving complex problems or situations.Familiarity with provisions of governmental and accrediting agency health plan requirementsFamiliar with applying clinical criteria when determining medical necessity and/or benefit administration.HIPAA PrivacyMust possess computer skills, including working knowledge of Electronic Medical Records (EMR), Microsoft Office Suite (365)
This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.
EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. Options Apply for this job onlineApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Need help finding the right job? We can recommend jobs specifically for you! Click here to get started. Application FAQsSoftware Powered by iCIMS
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