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Health Care Manager V

Professional Management Enterprises
Syracuse, NY Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 4/25/2025

Job Description

Job Description

RN Case Manager  to conduct UAS Assessments to support care management. The position will be a field position in  Boroughs : Syracuse / Albany / Orange, 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.

    Company Description

    Professional Management Enterprises is a minority and veteran owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceeds their expectations.

    Company Description

    Professional Management Enterprises is a minority and veteran owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceeds their expectations.

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