Case Manager V (66572)

RN Case Manager to conduct UAS Assessments to support care management. The position will be a field position in Boroughs: Bronx/ Westchester/ Manhattan, NY visiting nursing and assisted living facilities. Schedule will be M-F 8:30AM-5PM. ***RN UAS Certified highly preferred. Bilingual in Spanish or Bengali is highly preferred.

Essential Functions/Responsibilities:

• UAS Certified RN licensed in the state of NY.
• Conduct face to face assessments of members’ functional status, medical, behavioral, psychosocial and community resource needs.
• Provides the Interdisciplinary Care Team (ICT) with assessment information and acts as facilitator to ensure that members’ needs are met.
• Develop an ICP/PCSP based on members’ clinical, behavioral, and social needs that addresses barriers to care.
• Competently assesses members’ health status and ensures that member is receiving all necessary medical and supportive services.
• Manage care transitions through effective and timely communication necessary for member care and discharge planning.
• Clarifies SWH plan medical benefits, policies and procedures for members, providers and community-based agencies.
• Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population.

Required Education:
Bachelor's Degree (a combination of experience and education will be considered in lieu of degree).
Required Licensure/Certification:
NY State RN License in good standing.RN Case Manager to conduct UAS Assessments to support care management. The position will be a field position in Boroughs: Bronx/ Westchester/ Manhattan, NY visiting nursing and assisted living facilities. Schedule will be M-F 8:30AM-5PM. ***RN UAS Certified highly preferred. Bilingual in Spanish or Bengali is highly preferred.

Essential Functions/Responsibilities:

• UAS Certified RN licensed in the state of NY.
• Conduct face to face assessments of members’ functional status, medical, behavioral, psychosocial and community resource needs.
• Provides the Interdisciplinary Care Team (ICT) with assessment information and acts as facilitator to ensure that members’ needs are met.
• Develop an ICP/PCSP based on members’ clinical, behavioral, and social needs that addresses barriers to care.
• Competently assesses members’ health status and ensures that member is receiving all necessary medical and supportive services.
• Manage care transitions through effective and timely communication necessary for member care and discharge planning.
• Clarifies SWH plan medical benefits, policies and procedures for members, providers and community-based agencies.
• Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population.

Required Education:
Bachelor's Degree (a combination of experience and education will be considered in lieu of degree).
Required Licensure/Certification:
NY State RN License in good standing.